Lisa Carol Pruitt in Gainesville - Licensed Practical Nurse
Lisa Carol Pruitt - NPI 1669697058
Lisa Carol Pruitt is a Licensed Practical Nurse in Gainesville, Georgia. Lisa Carol Pruitt practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lisa Carol Pruitt is 1669697058. The last update date is 2007-07-08.
Lisa Carol Pruitt's current location address is 1290 Athens St, Gainesville, Georgia. You can contact this provider via phone number 7705315641. The mailing address for Lisa Carol Pruitt is 1290 Athens St, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Carol Pruitt |
|---|---|
| Address | 1290 Athens St, Gainesville, Georgia |
| Phone Number | 7705315641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1669697058 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1290 Athens St |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305077000 |
| Phone Number | 7705315641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN023340 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Carol Pruitt by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa Carol Pruitt has been assigned the NPI (National Provider Identifier) 1669697058. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lisa Carol Pruitt?
The Lisa Carol Pruitt is situated at 1290 Athens St, in the city of Gainesville, state of GA, with the zip code 305077000.
What is the Lisa Carol Pruitt's area of specialization and corresponding taxonomy classification?
The Lisa Carol Pruitt's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa Carol Pruitt receive the assignment of its 1669697058 from the Centers for Medicare & Medicaid Services?
The Lisa Carol Pruitt was issued its 1669697058 by the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the information pertaining to Lisa Carol Pruitt most recently updated or revised?
The details related to Lisa Carol Pruitt, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY