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Dr. Timothy Michael Pruitt, DNP
Nurse Practitioner in Southaven, Mississippi
NPI 1295738706

Timothy Michael Pruitt is a Nurse Practitioner based in Nesbit, MS. Timothy Michael Pruitt practices in Southaven, MS and has the professional credentials of DNP. The NPI Number for Timothy Michael Pruitt is 1295738706 and holds a License No. 19099 (Mississippi).

The current practice location address for Timothy Michael Pruitt is 7601 Southcrest Pkwy, Southaven, MS and can be reached out via phone at 662-772-4200. You can also correspond with Timothy Michael Pruitt through the mailing address at 2631 ITASCA DR, NESBIT, MS - 38651-9137 (mailing address contact number: 502-810-4146).

Location: 7601 Southcrest Pkwy, Southaven, MS, 38651-9137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295738706
Provider Name
Timothy Michael Pruitt
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
7601 Southcrest Pkwy, Southaven, MS, 38651-9137
Phone Number
662-772-4200
Fax Number
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136263758 05 AR
08379272 05 MS
institution
Provider Business Practice Location Address Details
Address
7601 Southcrest Pkwy
City
Southaven
State
Mississippi
Zip
38671
Phone Number
662-772-4200
Fax Number
person
Provider Business Mailing Address Details
Address
2631 Itasca Dr
City
Nesbit
State
Mississippi
Zip
38651-9137
Phone Number
502-810-4146
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
A001384 (Arkansas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
19099 (Tennessee)
Definition
Definition to come...
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