=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487559738
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE ANN PURIFOY MSN, APRN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 113 W RUBY ST
-----------------------------------------------------
City | STEPHENS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71764-8803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-786-2033
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 64
-----------------------------------------------------
City | CHIDESTER
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 71726-0064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-833-7107
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 124620
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------