Pruitt, Brooke Nicole

Pruitt, Brooke Nicole is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72401-8413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pruitt, Brooke Nicole can be contacted via phone (870) 936-8000.

Contact Information

Primary practice address
4802 E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 934-3630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A03418 ANP Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A003418 Arkansas

Profile Details

NPI number 1093021826
LBN Legal business name Pruitt, Brooke Nicole
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2010
Last updated Feb 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093021826 NPPES
Arkansas MEDICAID 185886758

Popular Providers