Individual provider · Type 1 NPI
Ellyn Burton Pruett, FNP-C
Family Nurse Practitioner · Jackson, MS
NPI number
1407284276
Active
Practice location
2500 N State St
Jackson, MS 39216-4500
Fax (601) 984-4548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R885026 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407284276
Ellyn Burton Pruett, FNP-C's National Provider Identifier is 1407284276, issued on Oct 14, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Jun 18, 2015.