EVANGELINE MARIE FONTENOT FNP-C
NPI 1104344175
Nurse Practitioner - Family in Denham Springs, LA

Active since August 30, 2017
8369 FLORIDA BLVD STE 8, DENHAM SPRINGS, LA 70726(225) 765-5500(225) 667-1770 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2020, May 3, 2018, Nov 2, 2017 and 1 more (4 updates tracked since 2017).

About Evangeline Marie Fontenot Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANGELINE MARIE FONTENOT FNP-C (NPI 1104344175) is an individual family provider in Denham Springs, Louisiana, licensed in Louisiana (AP09588) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1104344175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVANGELINE MARIE FONTENOTCredential: FNP-C
Location Address8369 FLORIDA BLVD STE 8Denham Springs, LA 70726-7862
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5727 · Fax (225) 765-4278
Fax(225) 667-1770
Sole ProprietorNo
Enumeration DateAugust 30, 2017
Last NPPES UpdateDecember 22, 20204 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1104344175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · AP09588
8369 FLORIDA BLVD STE 8, Denham Springs, LA 70726

Other Names 1

Former Name (1)Evangeline Kilcullen Fnp-c

Other Identifiers 1

OtherAP09588LA · Nurse Practitioner Lic Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
8369 FLORIDA BLVD STE 8
DENHAM SPRINGS, LA 70726
Nurse Practitioner (Family)
8369 FLORIDA BLVD STE 8
DENHAM SPRINGS, LA 70726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evangeline Fontenot's NPI number?

The NPI number for Evangeline Fontenot is 1104344175. It was assigned to this individual provider in the NPPES registry on August 30, 2017. The provider is also known as Evangeline Kilcullen Fnp-C.

Where is Evangeline Fontenot located?

Evangeline Fontenot practices at 8369 Florida Blvd Ste 8, Denham Springs, LA 70726. The listed phone number is (225) 765-5500.

What is Evangeline Fontenot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Evangeline Fontenot was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.