Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE LEIGH PRUITT, CHW
Active Sole ProprietorJACKIE LEIGH PRUITT, CHW is a Community Health Worker healthcare provider located in GUN BARREL CITY, Texas. NPI 1225857063 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GUN BARREL CITY, TX
Registration Details
- NPI Number
- 1225857063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2024 (1.8323418578834 yrs)
- Last Updated
- Jul 7, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
166 WESTVIEW DRGUN BARREL CITY, TX, 751563508Browse TX providers · Browse ZIP 75156
- Phone
- 9039107804
- Primary Specialty
-
Community Health Worker
172V00000X
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.