DR. TIMOTHY PRUITT, DNP
Nurse Practitioner
Active
Individual
NPI: 1295738706
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 893878 (MS) |
| Nurse Practitioner - Acute Care | 363LA2100X | No | 893878 (MS) |
| Nurse Practitioner - Family | 363LF0000X | No | RN298030 (GA) |
Frequently Asked Questions
NPI 1295738706 is the National Provider Identifier for DR. TIMOTHY PRUITT, DNP, a Nurse Practitioner provider located in Southaven, MS. This NPI was enumerated on May 30, 2005.
DR. TIMOTHY PRUITT, DNP practices at 7601 SOUTHCREST PKWY, Southaven, MS 38671.
Quick Facts
- NPI
- 1295738706
- Type
- Individual
- Enumerated
- May 30, 2005
- Last Updated
- Jul 29, 2025
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