Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pure Balance of Nwa PLLC

Organization Psychiatry Physician · NPI 1073359931

Pure Balance of Nwa PLLC provides Psychiatry Physician services 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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