Individual provider · Type 1 NPI
Jennifer Lee Pruitt, APRN
Psychiatric/Mental Health Nurse Practitioner · Fort Walton Beach, FL
NPI number
1508679630
Active
Practice location
2004 Lewis Turner Blvd Ste B
Fort Walton Beach, FL 32547-1362
Mailing address
1940 Harrison Ave
Panama City, FL 32405-4542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11037419 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1508679630
Jennifer Lee Pruitt, APRN's National Provider Identifier is 1508679630, issued on Jan 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 3, 2025.