SHELLEY YOUNG FONTAINE NPI 1790354199

NPI Information

  • NPI: 1790354199
  • Provider Name: SHELLEY YOUNG FONTAINE
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 106 W MYRTLE AVE
    FOLEY, AL
    ZIP 36535
  • Phone: (251) 943-5437

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NPI Details

Shelley Young Fontaine is a pediatrics nurse practitioner in Foley, AL with 6 years of experience. Shelley Young Fontaine NPI is 1790354199. 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:

106 W MYRTLE AVE
FOLEY, AL
ZIP 36535-935
Phone: (251) 943-5437

The NPI 1790354199 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2021 and was last updated on 10/3/2025.

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
1363LP0200XNurse PractitionerPediatrics1-165258ALABAMAYes

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: 11/21/2025

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