NPI 1790354199 · live from the CMS NPI Registry
Shelley Young Fontaine
Nurse Practitioner, Pediatrics in Foley, AL. National Provider Identifier 1790354199, active.
NPI record
| NPI | 1790354199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 106 W Myrtle Ave, Foley, AL 36535 |
| Practice phone | 251-943-5437 |
| Enumerated | June 21, 2021 |
| Last updated | October 3, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-165258 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.