Individual provider Active NPI

Nancy Jane Pruitt, DNP

  • Primary Care Nurse Practitioner
  • Brownsville, TN
National Provider Identifier
1700314432
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
22800 Issued in TN
Practice address
456 Joshwood Dr
Brownsville, TN 38012-1587
Phone
(731) 772-2083
Fax
(731) 772-2083
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 22800 TN Primary

Addresses

Primary practice location

456 Joshwood Dr
Brownsville, TN 38012-1587

Mailing address

456 Joshwood Dr
Brownsville, TN 38012-1587
Phone (731) 772-2083

Other names 1

  • Dr. Nancy Jane Pruitt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22800TNMDPrimary Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700314432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 JOSHWOOD DR",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121587",
            "telephone_number": "731-772-2083",
            "fax_number": "731-772-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 JOSHWOOD DR",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121587",
            "telephone_number": "731-772-2083",
            "fax_number": "731-772-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "22800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PRUITT",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "DR. NANCY PRUITT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brownsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.