Individual
LEVERN FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 HANFRED LN STE 101, TUCKER, GA 30084-4809
(678) 641-2446
(770) 908-1099
Mailing address
2206 HANFRED LN STE 101, TUCKER, GA 30084-4809
(678) 641-2446
(770) 908-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN052267
GA
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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