Provider Demographics
NPI:1871189506
Name:POINTER, NATALIE FOULKS
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:FOULKS
Last Name:POINTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:BREANNE
Other - Last Name:FOULKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6050 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-3019
Mailing Address - Country:US
Mailing Address - Phone:423-620-3574
Mailing Address - Fax:
Practice Address - Street 1:3011 LONGFORD DR STE 4
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-6203
Practice Address - Country:US
Practice Address - Phone:615-241-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7206235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist