Candice Fountain, - Occupational Therapist in Jackson, MS

Candice Fountain, is a Occupational Therapist - Driving And Community Mobility based in Jackson, Mississippi. Candice Fountain is licensed to practice in Mississippi (license number OT2019) and her current practice location is 2475 Lakeland Dr Ste A, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 636-6019.

NPI number for Candice Fountain is 1629150818 and her current mailing address is 1054 Highland Cove Pl, Ridgeland, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629150818.

Contact Information

Candice Fountain,
2475 Lakeland Dr Ste A,
Jackson, MS 39232-9505
(601) 636-6019
(601) 661-8457

Map and Direction




Healthcare Provider's Profile

Full NameCandice Fountain
GenderFemale
SpecialityOccupational Therapist - Driving And Community Mobility
Location2475 Lakeland Dr Ste A, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629150818
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Candice Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629150818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XR0403XOccupational Therapist - Driving And Community Mobility OT2019 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Fountain is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candice Fountain,
1054 Highland Cove Pl,
Ridgeland, MS 39157-1523

Ph: (601) 636-6019
Candice Fountain,
2475 Lakeland Dr Ste A,
Jackson, MS 39232-9505

Ph: (601) 636-6019

Reviews and Comments


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