Search › South Carolina › 363LF0000X
Jacob Fountain, FNP
NPI 1497232565 · on the registry since 2018
Practice
- Address
- 225 Enterprise Blvd
Suite 101
Greenville, SC 29615 - Phone
- (864) 454-8120
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina