Individual
MRS. TONYA KATINA FOUNTAIN-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4928
(228) 523-8414
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4928
(228) 523-8414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903849
MS
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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