Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fountain of Youth Medical LLC

Organization Nurse Practitioner · NPI 1396216339

Fountain of Youth Medical LLC is a Nurse Practitioner in Knoxville, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Lovell Rd
Knoxville, TN 37934-1904
Phone: (865) 392-1400
Fax: (865) 392-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1396216339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geneva Worthington — Fnp-C · (865) 392-1500
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 6, 2019
Mailing address135 Lovell Rd, Knoxville, TN 37934-1904

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