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MRS. ELLYN BURTON PRUETT FNP-C
NPI 1407284276
Nurse Practitioner - Family in Jackson, MS

Active since October 14, 2013
2500 N STATE ST, JACKSON, MS 39216(601) 984-4540(601) 984-4548 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Ellyn Burton Pruett Fnp-c NPPES

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

MRS. ELLYN BURTON PRUETT FNP-C (NPI 1407284276) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R885026) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1407284276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ELLYN BURTON PRUETTCredential: FNP-C
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State St, Division Of GastroenterologyJackson, MS 39216-4500 · (601) 984-4540 · Fax (601) 984-4548
Phone(601) 984-4540
Fax(601) 984-4548
Sole ProprietorNo
Enumeration DateOctober 14, 2013
Last NPPES UpdateJune 18, 2015
✔ NPI 1407284276 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 MS · R885026
2500 N STATE ST, Jackson, MS 39216
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Other Identifiers 3

OtherP01454802MS · Railroad Medicare Ptan
Medicare PIN324273YJ5DMS
Medicaid01504791MS

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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Ellyn Pruett's NPI number?

The NPI number for Ellyn Pruett is 1407284276. It was assigned to this individual provider in the NPPES registry on October 14, 2013.

Where is Ellyn Pruett located?

Ellyn Pruett practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-4540.

What is Ellyn Pruett'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 Ellyn Pruett was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.