| NPI | 1164918900 |
|---|---|
| Professional Name | JENNIFER FOUNTAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2026-04-09 |