Individual provider · Type 1 NPI
Joshua Shane Fountain
Critical Care Medicine Nurse Practitioner · Atlanta, GA
NPI number
1831855865
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
934 Garibaldi St SW
Atlanta, GA 30310-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | RN247882 (GA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1831855865
Joshua Shane Fountain's National Provider Identifier is 1831855865, issued on Nov 15, 2021. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Atlanta, GA. The record was last updated on Feb 8, 2022.