Provider Demographics
| NPI: | 1730906819 |
|---|---|
| Name: | FRANCE, NATALIE NICOLE (APRN) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | NATALIE |
| Middle Name: | NICOLE |
| Last Name: | FRANCE |
| Suffix: | |
| Gender: | F |
| Credentials: | APRN |
| Other - Prefix: | |
| Other - First Name: | NATALIE |
| Other - Middle Name: | |
| Other - Last Name: | GADD |
| Other - Suffix: | |
| Other - Last Name Type: | Former Name |
| Other - Credentials: | |
| Mailing Address - Street 1: | 95 S LAUREL RD STE 1 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LONDON |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 40744-8300 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 606-770-5086 |
| Mailing Address - Fax: | 863-456-1301 |
| Practice Address - Street 1: | 95 S LAUREL RD STE 1 |
| Practice Address - Street 2: | |
| Practice Address - City: | LONDON |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 40744-8300 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 606-770-5086 |
| Practice Address - Fax: | 863-456-1301 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2024-09-20 |
| Last Update Date: | 2025-04-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| KY | 4033633 | 363LP0808X |
| KY | 1156773 | 163W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
| No | 163W00000X | Nursing Service Providers | Registered Nurse |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| KY | 7101044910 | Medicaid |