MRS. LYSIANE PRUITT FNP
NPI 1164528030
Nurse Practitioner - Family in Fayetteville, NC

Active since September 16, 2006
2300 RAMSEY ST, FAYETTEVILLE, NC 28301(910) 488-2120 Get Directions Write a Review

NPPES record last updated: April 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lysiane Pruitt Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LYSIANE PRUITT FNP (NPI 1164528030) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (122251) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1164528030
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LYSIANE PRUITTCredential: FNP
Location Address2300 RAMSEY STFayetteville, NC 28301-3856
Mailing Address2300 Ramsey StFayetteville, NC 28301-3856 · (910) 488-2120
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 8, 2017
NPI 1164528030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 122251
2300 RAMSEY ST, Fayetteville, NC 28301

Other Identifiers 2

Medicare PIN2802983NC
Medicare UPINP50567NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Psychologist (Clinical)
2300 RAMSEY ST, MS 116
FAYETTEVILLE, NC 28301
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Pharmacist (Psychiatric)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Internal Medicine
2300 RAMSEY ST, VA MEDICAL CENTER
FAYETTEVILLE, NC 28301
Pharmacist
2300 RAMSEY ST
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
2300 RAMSEY ST
FAYETTEVILLE, NC 28301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lysiane Pruitt's NPI number?

The NPI number for Lysiane Pruitt is 1164528030. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Lysiane Pruitt located?

Lysiane Pruitt practices at 2300 Ramsey St, Fayetteville, NC 28301. The listed phone number is (910) 488-2120.

What is Lysiane Pruitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lysiane Pruitt was last updated on April 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.