Healthcare Provider Details

I. General information

NPI: 1427826692
Provider Name (Legal Business Name): LAUREN J FOURNIER APRN, PMHN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LAUREN J PARK

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 LONG LOTS RD
WESTPORT CT
06880-3828
US

IV. Provider business mailing address

268 POST RD STE 200
FAIRFIELD CT
06824-6220
US

V. Phone/Fax

Practice location:
  • Phone: 203-227-1251
  • Fax: 408-413-0492
Mailing address:
  • Phone: 203-868-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12806
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number144761
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: