Pruitt, Jacquelyn Shuron

Pruitt, Jacquelyn Shuron is an individual health care provider with primary practice located at 6600 Bruceville Rd , Sacramento CA 95823-4671. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Pruitt, Jacquelyn Shuron can be contacted via phone (916) 688-4340.

Contact Information

Primary practice address
6600 Bruceville Rd Sacramento CA 95823-4671
Phone: (916) 688-4340
Fax: (916) 688-6278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN239033 California

Profile Details

NPI number 1902979966
LBN Legal business name Pruitt, Jacquelyn Shuron
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Feb 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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