Individual provider · Type 1 NPI

Whitney Boni Pruitt, AGNP

Nurse Practitioner · Shallotte, NC

NPI number 1104543545 Active

Practice location

512 Village Rd Ste 207
Shallotte, NC 28470-3409

Fax (910) 662-7501

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice locations

  • 270 U.s. 701, Tabor City, Nc, 28463, Tabor City, NC 28463-2846 · (910) 653-1901

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X5017081 (NC)
Nurse Practitioner Primary 363L00000X5017081 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1104543545

Whitney Boni Pruitt, AGNP's National Provider Identifier is 1104543545, issued on Oct 26, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shallotte, NC. The record was last updated on Apr 15, 2026.