| Doctor Name: | NATALIE FULFORD EVANS |
| NPI Number: | 1023315926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN168361 |
| Business Practice Address: | 193 Howard Ct Gray, GA - 310326341 |
| Business Phone Number: | 4787373437 |
| Business Fax Number: | |
| Mailing Address: | 193 Howard Ct, GRAY |
| State: | GA |
| Postal Code: | 310326341 |
| Phone Number: | 4787373437 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2011 |
| NPI Last Update Date: | 02/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN168361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |