Tiffany Fountain, lvn
Licensed Vocational Nurse in Oakland, CA. Individual provider (NPI-1).
NPI number1003761982
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1003761982
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Fountain
- Credential
- lvn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2026
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 756820 | CA | Yes |
Practice location
5432 Lawton AveOakland, CA 94618-1110
Phone 510-640-3914
Mailing address
268 Lewelling BlvdAshland, CA 94580-1632
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All 166 Licensed Vocational Nurse providers in Oakland · All 20,942 providers in Oakland
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