Individual
CHARNIECE WILCOX FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Mailing address
4440 CAHABA RIVER BLVD, HOOVER, AL 35216-6832
(205) 354-3374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-151543
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-151543
AL
Other
Enumeration date
05/24/2021
Last updated
11/10/2025
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