Individual
JACOB ALAN PRUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2107 W 2ND ST, GRAND ISLAND, NE 68803-5311
(308) 267-4834
Mailing address
2121 W 18TH ST, GRAND ISLAND, NE 68803-2727
(308) 383-6199
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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