Individual
MRS. NANCY J PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1927A BRIAR RIDGE RD, TUPELO, MS 38804-5963
(662) 269-2005
(662) 269-2006
Mailing address
1927A BRIAR RIDGE RD, TUPELO, MS 38804-5963
(662) 269-2005
(662) 269-2006
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R879701
MS
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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