License Directory

Jennifer Fountain

Active

California license 64783

License

Licensed by
California Physician Assistant Board
License number
64783
Status
Active (Current)
First issued
July 5, 2024
Expires
May 31, 2028
License holder
Jennifer Fountain
Entity type
Individual

Classifications

More from the license record

License type code
9501

Other California licenses under this name

  • CA
    Jennifer Fountain
    License 95012151
    Nurse Practitioner
    Active
    Olympic Valley, CA
    Expires Mar 31, 2028
  • CA
    Jennifer Fountain
    License 95178090
    Registered Nurse
    Active
    Olympic Valley, CA
    Expires Mar 31, 2028

Contact

2385 Drake Hill Rd
Fortuna, CA 95540-3740
Humboldt County