# MERRY FONTENOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134677545
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM0102X | Maternal Newborn Registered Nurse | 807400 | TX | — |
| 367A00000X | Advanced Practice Midwife | AP131763 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 02/08/2024