Source Fountain Wellness LLC
Source Fountain Wellness LLC provides Psychiatric/Mental Health Nurse Practitioner services in Fredericksburg, Virginia. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
105 Bancroft DrFredericksburg, VA 22405-1206
Phone: (706) 589-6211
Fax: (450) 371-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1750290110 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yvonne Nkeze — Owner · (706) 589-6211 |
| NPI enumerated | September 2, 2026 |
| Last updated in NPPES | September 2, 2026 |
| Certification date | September 2, 2026 |
| Mailing address | 105 Bancroft Dr, Fredericksburg, VA 22405-1206 |
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