DEWAYNE PRUITT RN BSN NPI 1104571090

NPI Information

  • NPI: 1104571090
  • Provider Name: DEWAYNE PRUITT, RN, BSN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 2153 JENKINS ROAD
    ALICEVILLE, AL
    ZIP 35442
  • Phone: (205) 367-1619

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NPI Details

Dewayne Pruitt, RN, BSN is a home health registered nurse in Aliceville, AL. Dewayne Pruitt, RN, BSN NPI is 1104571090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2153 JENKINS ROAD
ALICEVILLE, AL
ZIP 35442
Phone: (205) 367-1619
Fax: (205) 367-1619

The enumeration date for this NPI number is 2/18/2022 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome Health1-121419ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000000000000OTHERALABAMADONT HAVE ONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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