Individual
MELISSA D PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117
(501) 202-3802
Mailing address
404 W SCENIC DR, NORTH LITTLE ROCK, AR 72118-5152
(901) 412-7007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-14973
AR
207Q00000X
Family Medicine Physician
Primary
E-14973
AR
207Q00000X
Family Medicine Physician
E14972
AR
207Q00000X
Family Medicine Physician
E14973
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02332770
—
MS
05
—
283254001
—
AR
Enumeration date
05/28/2006
Last updated
06/12/2024
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