Fountain of Youth Medical LLC
NPI #1396216339 in Knoxville, Tennessee
Provider Information
- NPI Number
- 1396216339
- Entity Type
- Organization
- Organization Name
- Fountain of Youth Medical LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 17, 2018
- Last Updated
- Mar 6, 2019
Practice Location
Authorized Official
- Name
- GENEVA LYNNE WORTHINGTON, FNP-C
- Title
- FNP-C
- Phone
- (865) 392-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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