JORDAN NICOLE FOUNTAIN

LUMBERTON, TX
NPI1518795582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1169546)
Enumeration Date2024-07-22
Last Update Date2024-12-26
Business Address
JORDAN NICOLE FOUNTAIN NP
288 COUNTRY LANE DR
LUMBERTON, TX 77657-6804
Phone number: 409-813-1677
Mailing Address
JORDAN NICOLE FOUNTAIN NP
3406 COLLEGE ST STE 200
BEAUMONT, TX 77701-4612
Phone number: 409-813-1677
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