Individual
ASHLEY JANE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 SALEM RD STE 1, CONWAY, AR 72034-6166
(501) 336-8300
(479) 890-5364
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R098433
AR
Other
Enumeration date
04/06/2018
Last updated
04/09/2018
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