| Doctor Name: | MRS. NATALIA ANGELIA STEVENSON |
| NPI Number: | 1053486852 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R772482 |
| Business Practice Address: | Ellisville State School 1101 Hwy 11 South Ellisville, MS - 39437 |
| Business Phone Number: | 6014779384 |
| Business Fax Number: | 6014775782 |
| Mailing Address: | 1208 N 4th Ave, LAUREL |
| State: | MS |
| Postal Code: | 39440 |
| Phone Number: | 6014259055 |
| Fax Number: | 6014775782 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R772482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |