Organization · Type 2 NPI

Mark Pruitt FNP PC

Family Nurse Practitioner · Knoxville, TN

NPI number 1083887897 Active

Practice location

301 S Gallaher View Rd, Suite 102
Knoxville, TN 37919-5355

Fax (865) 690-0995

Mailing address

8005 Whitestone Rd
Knoxville, TN 37938-3834

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN121028 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1083887897

Mark Pruitt FNP PC's National Provider Identifier is 1083887897, issued on Apr 12, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Knoxville, TN. The record was last updated on Apr 16, 2008.