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

Mallory Beth Purvis

Individual provider Family Nurse Practitioner · NPI 1184502163

Mallory Beth Purvis is a Nurse Practitioner in Marianna, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4896 Highway 90 Ste A
Marianna, FL 32446-7840
Phone: (850) 526-6700
Fax: (850) 526-6701
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11039792 (FL)

Record details

NPI number1184502163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address4250 Hospital Dr, Marianna, FL 32446-1917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Marianna