Individual
MS. LAURA JEAN FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
222 E PEARSON ST APT 2407, CHICAGO, IL 60611-7367
(954) 557-3246
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.018082
IL
363LP0200X
Pediatric Nurse Practitioner
RN250573
GA
Other
Enumeration date
02/01/2017
Last updated
11/19/2018
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