Provider Demographics
NPI:1942598081
Name:BABCOCK, NATALIE J (FNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:J
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 PLAZA DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304
Mailing Address - Country:US
Mailing Address - Phone:219-728-6091
Mailing Address - Fax:877-793-9750
Practice Address - Street 1:709 PLAZA DR
Practice Address - Street 2:SUITE #1
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304
Practice Address - Country:US
Practice Address - Phone:219-728-6091
Practice Address - Fax:877-793-9750
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71003632A363LF0000X
IN28117267A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily