Individual
KALEE JO FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
569 SKYLINE DR, JACKSON, TN 38301-3911
(731) 664-7395
Mailing address
569 SKYLINE DR, JACKSON, TN 38301-3911
(731) 664-7395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35803
TN
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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