JOHN PRUITT
NPI 1245974310
Student in an Organized Health Care Education/Training Program in Shreveport, LA
About John Pruitt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PRUITT (NPI 1245974310) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Pruitt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245974310, enumerated as an "individual" on April 25, 2022.
The provider is located at 1501 KINGS HWY SHREVEPORT, LA 71103 and the phone number is (318) 626-0434.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
