Fountain, Madison Lee

Fountain, Madison Lee is an sole proprietor health care provider with primary practice located at 3200 Northline Ave Ste 250 , Greensboro NC 27408-7619. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Fountain, Madison Lee can be contacted via phone (336) 689-0669.

Contact Information

Primary practice address
3200 Northline Ave Ste 250 Greensboro NC 27408-7619
Phone: (336) 689-0669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5020174 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 304292 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5020174 North Carolina

Profile Details

NPI number 1700590734
LBN Legal business name Fountain, Madison Lee
Credentials DNP, AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2023
Last updated Jul 2nd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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