Individual
JAMIE A PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2451 W GRAPEVINE MILLS CIR # 507, GRAPEVINE, TX 76051-2096
(240) 714-6679
Mailing address
2825 ROUNDUP TRL, GRAPEVINE, TX 76051-4745
(240) 714-6679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
584583
TX
Other
Enumeration date
07/31/2025
Last updated
09/03/2025
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