Individual provider · Type 1 NPI

Michael Pruitt

Primary Care Nurse Practitioner · Little Rock, AR

NPI number 1790640191 Active

Practice location

4300 W 7th St
Little Rock, AR 72205-5446

Call (501) 257-1000 Map

Mailing address

4528 Highway 15 N
Lonoke, AR 72086-8575

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X234909 (AR)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1790640191

Michael Pruitt's National Provider Identifier is 1790640191, issued on Dec 17, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Little Rock, AR. The record was last updated on Dec 17, 2025.