Individual
MRS. JENNIFER LEE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2004 LEWIS TURNER BLVD STE B, FORT WALTON BEACH, FL 32547-1362
(850) 226-7893
Mailing address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 692-5862
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11037419
FL
Other
Enumeration date
01/31/2025
Last updated
02/03/2025
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