FEDIA EVELINE FONTAINE NPI 1467022343

NPI Information

  • NPI: 1467022343
  • Provider Name: FEDIA EVELINE FONTAINE
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 9431 WATERS EDGE DR
    JONESBORO, GA
    ZIP 30236
  • Phone: (772) 646-8373

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NPI Details

Fedia Eveline Fontaine is a critical care medicine registered nurse in Jonesboro, GA. Fedia Eveline Fontaine NPI is 1467022343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9431 WATERS EDGE DR
JONESBORO, GA
ZIP 30236-033
Phone: (772) 646-8373

The enumeration date for this NPI number is 7/1/2021 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care MedicineRN295917GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000000000000OTHER0000000000000

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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