LEAH DANIELLE FOUNTAIN

MOUNTAIN HOME, AR
NPI1487176764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005203)
Enumeration Date2017-07-08
Last Update Date2019-09-25
Business Address
LEAH DANIELLE FOUNTAIN MSN, NP-C APRN
555 W 6TH ST
MOUNTAIN HOME, AR 72653-3409
Phone number: 870-425-8288
Mailing Address
LEAH DANIELLE FOUNTAIN MSN, NP-C APRN
PO BOX 1254
MOUNTAIN HOME, AR 72654-1254
Phone number: 870-425-8288