Individual
COURTNEY WILBURN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 PROFESSIONAL DR, OXFORD, MS 38655-5374
(662) 234-0424
(662) 234-0485
Mailing address
2401 PROFESSIONAL DR, OXFORD, MS 38655-5374
(662) 234-0424
(662) 234-0485
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
905056
MS
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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