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Nicole Pursifull Family Practitioner, PLLC

Company Details

Name: Nicole Pursifull Family Practitioner, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 13 Mar 2017 (8 years ago)
Organization Date: 13 Mar 2017 (8 years ago)
Last Annual Report: 15 May 2018 (7 years ago)
Managed By: Members
Organization Number: 0979319
ZIP code: 40965
City: Middlesboro
Primary County: Bell County
Principal Office: 123 19th Street, Middlesboro, KY 40965
Place of Formation: KENTUCKY

Registered Agent

Name Role
Nicole Pursifull Registered Agent

Organizer

Name Role
Nicole Pursifull Organizer

Member

Name Role
NICOLE PURSIFULL Member
NICOLE GIBSON Member

National Provider Identifier

NPI Number:
1235670639

Authorized Person:

Name:
NICOLE PURSIFULL
Role:
FNP/OWNER MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2019-03-14
Annual Report 2018-05-15

Sources: Kentucky Secretary of State