Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BIANCA PRUITT, RN,MSN,DNP,CCM
Active Sole ProprietorDR. BIANCA PRUITT, RN,MSN,DNP,CCM is a Case Management Nurse healthcare provider located in JOLIET, Illinois. NPI 1154196780 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · JOLIET, IL
Registration Details
- NPI Number
- 1154196780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2023 (2.7347955086097 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
041490826 (IL)041490826 (IL)4249170 (IL)041490826 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 EDISON RDJOLIET, IL, 604333103Browse IL providers · Browse ZIP 60433
- Phone
- 8156514315
- Primary Specialty
-
Case Management Nurse
163WC0400X
- Additional Specialty
- Continuing Education Nurse
- Additional Specialty
- Case Manager
- Additional Specialty
- Case Management Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.