Individual
DR. JACOB ERIC PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1161 21ST AVE S, D3100 MCN, NASHVILLE, TN 37232-0011
(601) 201-4229
Mailing address
719 THOMPSON LN, NASHVILLE, TN 37204-3609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
09/25/2024
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