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Timothy O Pruett, FNP
Nurse Practitioner in Springfield, Missouri
NPI 1972645117

Timothy O Pruett is a Nurse Practitioner based in Springfield, MO. Timothy O Pruett practices in Springfield, MO and has the professional credentials of FNP. The NPI Number for Timothy O Pruett is 1972645117 and holds a License No. 112446 (Missouri).

The current practice location address for Timothy O Pruett is 1900 S National Ave, Springfield, MO and can be reached out via phone at 417-820-3911 and via fax at 417-820-3924. You can also correspond with Timothy O Pruett through the mailing address at PO BOX 2580, SPRINGFIELD, MO - 65801-2580 (mailing address contact number: 417-829-4620).

Location: 1900 S National Ave, Springfield, MO, 65801-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972645117
Provider Name
Timothy O Pruett
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1900 S National Ave, Springfield, MO, 65801-2580
Phone Number
417-820-3911
Fax Number
417-820-3924
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174073 01 MO MO BLUE SHIELD
428328702 05 MO
82543 01 AR ARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1900 S National Ave
City
Springfield
State
Missouri
Zip
65804-2265
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider Business Mailing Address Details
Address
1900 S National Ave
City
Springfield
State
Missouri
Zip
65804-2265
Phone Number
417-820-3911
Fax Number
417-820-3924
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
112446 (Missouri)
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.
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