THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE LLC NPI 1821315219

NPI Information

NPI: 1821315219
Provider Name: THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
110 GLANCY ST # 107
GOODLETTSVILLE, TN
ZIP 37072
Phone: (615) 420-6884
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THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE, LLC is a primary care clinic center in Goodlettsville, TN. THE FOUNTAIN CENTER FOR PREVENTATIVE MEDICINE, LLC NPI is 1821315219. The provider is registered as an organization entity type.

The provider's business location address is:

110 GLANCY ST # 107
GOODLETTSVILLE, TN
ZIP 37072-326
Phone: (615) 420-6884

The provider's authorized official is Angelina Johnson .
The authorized official title is Nurse Practitioner/member and has the following contact phone number (615) 420-6884.

The enumeration date for this NPI number is 4/26/2010 and was last updated on 4/26/2010.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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