Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fountain of Youth Medical LLC

Organization Nurse Practitioner · NPI 1396216339

Fountain of Youth Medical LLC provides Nurse Practitioner services 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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