Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pure Balance of Nwa PLLC

Organization Psychiatry Physician · NPI 1073359931

Pure Balance of Nwa PLLC is a Psychiatry Physician in Rogers, Arkansas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3608 W Southern Hills Blvd
Rogers, AR 72758-8013
Phone: (479) 633-7052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1073359931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Boydstun — Owner · (432) 770-5923
NPI enumeratedJuly 1, 2024
Last updated in NPPESAugust 5, 2024
Certification dateJuly 23, 2024
Mailing address3608 W Southern Hills Blvd, Rogers, AR 72758-8013

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