Jenna Pruitt

NPI 1033503735 · on the registry since 2015

Practice

Address: 18765 Riverside Drive
Vansant, VA 24656
Phone: (276) 935-7455
Fax: (276) 935-7713
Organisation at this address: K-Va-T Food Stores, Inc.
Appalachian Family Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia