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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY MICHAEL PRUITT, DNP

Active

Nurse Practitioner · SOUTHAVEN, MS

Registration Details

NPI Number
1295738706
Provider Type
Individual
Gender
Male
NPI Issued
May 30, 2005 (20.898001490473 yrs)
Last Updated
Jul 29, 2025
Licenses
RN298030 (GA)
A001384 (AR)
19099 (TN)
RN298030 (GA)
A001384 (AR)

Practice Information

Address
7601 SOUTHCREST PKWY
SOUTHAVEN, MS, 38671
Browse MS providers · Browse ZIP 38671
Phone
6627724200
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Acute Care Nurse Practitioner

Other Nurse Practitioner Providers in SOUTHAVEN, MS

Name Credential NPI
MRS. BEVERLY P. WEAVER RN, MSN, FNP-BC 1831140508
DR. BEVERLY ANN CLISBY GLASGOW DNP, FNP, ACNP 1124067384
DR. SANDRA E. COX FNP 1811161763
RENA D MONTGOMERY APN 1871728436
AMANDA S SAVAGE FNP 1871865717
MRS. LAURA ELIZABETH DAVIS FNP 1619226032
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.