Individual
JENNIFER FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5354
(434) 296-9161
(434) 220-7144
Mailing address
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5354
(434) 296-9161
(434) 220-7144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024174634
VA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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