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

JESSICA PRUITT

Active Sole Proprietor

JESSICA PRUITT is a Case Manager healthcare provider located in BROKEN BOW, Oklahoma. NPI 1932528007 is currently active in the NPPES registry. Verify at CMS.

Case Manager · BROKEN BOW, OK

Registration Details

NPI Number
1932528007
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2014 (12.151781184814 yrs)
Last Updated
Apr 15, 2014
Sole Proprietor
Yes

Practice Information

Address
1638 OLD GOLDEN HWY
BROKEN BOW, OK, 747286846
Browse OK providers · Browse ZIP 74728
Phone
5802363575
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in BROKEN BOW, OK

Name Credential NPI
TABITHA NICOLE FERGUSON 1912341389
JADE CHANTELLE BOX BHRS 1245668110
DEANN MCMURL 1437577889
MRS. RENISA UNDERWOOD 1629480991
ALORA S FULGIUM 1447799085
MRS. TAMMY BUCKMAN 1386288231
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.