Organization
FOUNTAIN OF HEALTH MEDICAL AYURVEDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA LEE LUSIGNAN FNP-BC (OWNER)
(413) 244-3964
Entity
Organization
Contact information
Practice address
563 BRUNSWICK RD STE 5, GRASS VALLEY, CA 95945-9544
(530) 464-8632
Mailing address
101 W MCKNIGHT WAY STE B, GRASS VALLEY, CA 95949-9613
(530) 464-8632
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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