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Jillene Pruiett

NPI 1790630861 · on the registry since 2026 · sole proprietor

Practice

Address
11409 Governor Ave
Cleveland, OH 44111
Phone
(216) 412-1339

Registry record

Primary taxonomy
251S00000X
251S00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-03

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 Ohio