Nicole Pursifull Family Practitioner

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1117450 Issued in KY

Legal business name

NICOLE PURSIFULL FAMILY PRACTITIONER

Practice address

123 N 19TH St Ste 2
Middlesboro, KY 40965-2865

Phone

(606) 269-6350

NPI assigned

Mar 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Pursifull, FNP

Title

FNP/Owner Manager

Phone

(606) 269-6350

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Gayle Phelps, ANCC

  • Nurse Practitioner
  • Corbin, KY
  • NPI 1598005654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1235670639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652865",
            "telephone_number": "606-269-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST STE 2",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652865",
            "telephone_number": "606-269-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE PURSIFULL FAMILY PRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "PURSIFULL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FNP/OWNER MANAGER",
        "authorized_official_telephone_number": "606-269-6350",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1117450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Wade Nantz II
• Jennifer Napier
• Neil G Barry III MD Inc
• Zachary Matthew Neverstitch, PHARMD
• Nexus Lab, Inc.
• Holden North, DPT
• Charles I. Okwundu, MD
• Radwa Clarissa Omar, APRN
• Steven W Partin, TCM
• Nitinkumar K Patel, MD

• Family Nurse Practitioner in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.