Healthcare Provider Details

I. General information

NPI: 1487559738
Provider Name (Legal Business Name): NATALIE ANN PURIFOY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 W RUBY ST
STEPHENS AR
71764-8803
US

IV. Provider business mailing address

PO BOX 64
CHIDESTER AR
71726-0064
US

V. Phone/Fax

Practice location:
  • Phone: 870-786-2033
  • Fax:
Mailing address:
  • Phone: 870-833-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number124620
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: