Individual
JENNIFER PRUHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 477-2875
(757) 953-9035
Mailing address
2015 KENLAKE PL, NORFOLK, VA 23518-5305
(757) 477-2875
(757) 953-9035
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024165128
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007792751
—
VA
Enumeration date
06/24/2006
Last updated
12/02/2021
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