Jacquelyn Shuron Pruitt in Sacramento - Primary Care

Jacquelyn Shuron Pruitt - NPI 1902979966

Jacquelyn Shuron Pruitt is a Primary Care in Sacramento, California. Jacquelyn Shuron Pruitt practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Jacquelyn Shuron Pruitt is 1902979966. The last update date is 2009-02-16.

Jacquelyn Shuron Pruitt's current location address is 6600 Bruceville Rd, Sacramento, California. You can contact this provider via phone number 9166884340 and fax number 9166886278. The mailing address for Jacquelyn Shuron Pruitt is 6600 Bruceville Rd, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelyn Shuron Pruitt
Address 6600 Bruceville Rd, Sacramento, California
Phone Number 9166884340
Fax Number 9166886278
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1902979966
Provider Enumeration Date 2006-11-16
Last Updated Date 2009-02-16

Provider Mailing Address Detail

Address 6600 Bruceville Rd
City Sacramento
State California (CA)
Post Code 958234671
Phone Number 9166884340
Fax Number 9166886278

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 363Lp2300X
Licence No RN239033
Definition:
An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages.

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FAQs about Jacquelyn Shuron Pruitt

What is the Jacquelyn Shuron Pruitt's 1902979966?

The Jacquelyn Shuron Pruitt's NPI (National Provider Identifier) Number is 1902979966. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jacquelyn Shuron Pruitt's facilities are situated?

The facilities of Jacquelyn Shuron Pruitt are physically located at the following address: 6600 Bruceville Rd, Sacramento, CA, 958234671.

What is Jacquelyn Shuron Pruitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jacquelyn Shuron Pruitt is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 363Lp2300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1902979966 to Jacquelyn Shuron Pruitt?

The Centers for Medicare & Medicaid Services assigned the 1902979966 to Jacquelyn Shuron Pruitt on 2006-11-16.

As of what date was the information regarding Jacquelyn Shuron Pruitt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jacquelyn Shuron Pruitt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-16.

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