Jenny Pruitt, PA

NPI 1528249133 · on the registry since 2007

Practice

Address: 58 Carroll St
Room 2037
Lebanon, VA 24266
Phone: (276) 883-8062
Fax: (276) 883-8064
Organisation at this address: Russell County Clinic Corp
Blue Ridge Medical Management
Benham Physician Services Llc
Mountain States Health Alliance
Mountain States Health Alliance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-23

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