Individual
JESSICA LOUCAS FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3795 MANSELL RD, ALPHARETTA, GA 30022-8247
(404) 785-8540
(404) 785-8574
Mailing address
3795 MANSELL RD, ALPHARETTA, GA 30022-8247
(404) 785-8540
(404) 785-8574
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN280517
GA
Other
Enumeration date
06/23/2009
Last updated
06/06/2022
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