MRS. NANCY J PRUETT (NPI# 1437484805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437484805 |
| Entity Type | Individual |
| Full Name | MRS. NANCY J PRUETT |
| Credential | RN |
| Practice Address |
1927a Briar Ridge Rd Tupelo MS 38804-5963 |
| Practice Telephone | 6622692005 |
| Practice Fax Number | 6622692006 |
| Mailing Telephone | 6622692005 |
| Mailing Fax Number | 6622692006 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
R879701 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205815958 | Nancy K Pruett | Dentist | 4715 Statesmen Dr, Suite G, Indianapolis, IN 46250-5642 | 2006-01-11 |
| Street Address |
1927A BRIAR RIDGE RD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-5963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659705937 | Wanda Kay Gann | Counselor | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-08-22 |
| 1366883597 | Erica L Peebles | Counselor | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-07-16 |
| 1245570514 | Melissa Rose Elgin | Registered Nurse | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-02-25 |
| 1245570555 | Pamela J Thompson | Licensed Practical Nurse | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-02-22 |
| 1558601856 | Lori Diane Jolly | Registered Nurse | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-02-22 |
| 1992045298 | Courtney Hope Hammock | Registered Nurse | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2013-02-22 |
| 1831468248 | Region Iv Mental Health Services--tupelo Crisis Center | Community/Behavioral Health | 1927a Briar Ridge Rd, Tupelo, MS 38804-5963 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505292 | Kim Maria White | Registered Nurse | 529 Forest Ave, Jackson, MS 39206-3303 | 2020-07-10 |
Please comment or provide details below to improve the information on MRS. NANCY J PRUETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.