MRS. KATHRYN CLAIRE PRUITT APN NPI 1679577555

NPI Information

NPI: 1679577555
Provider Name: MRS. KATHRYN CLAIRE PRUITT, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEMPHIS URGENT CARE 2 LLC

PECOS Registration: Yes

Address:
111 CHASE ST
BYHALIA, MS
ZIP 38611
Phone: (502) 810-4164
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MRS. Kathryn Claire Pruitt, APN is a family nurse practitioner in Byhalia, MS with 26 years of experience. MRS. Kathryn Claire Pruitt, APN NPI is 1679577555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1998

The provider's business location address is:

111 CHASE ST
BYHALIA, MS
ZIP 38611
Phone: (502) 810-4164

The NPI 1679577555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 9/23/2018.

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
1	363LF0000X	Nurse Practitioner	Family	19930	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	895684	MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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