Individual
JENNIFER LAUREN FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 SW 20TH ST APT 404, OCALA, FL 34474-2821
(716) 473-8616
Mailing address
3435 SW 20TH ST APT 404, OCALA, FL 34474-2821
(716) 473-8616
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
FL
Other
Enumeration date
07/05/2018
Last updated
04/09/2026
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