Provider Demographics
NPI:1306630934
Name:CRAIN, NATALIE KING
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:KING
Last Name:CRAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:NICOLE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:WILSON HALL, 2405 AGGIE RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401
Mailing Address - Country:US
Mailing Address - Phone:870-504-2699
Mailing Address - Fax:
Practice Address - Street 1:WILSON HALL, 2405 AGGIE RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:870-504-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program