LISA CAROL PRUITT LPN
NPI 1669697058
Licensed Practical Nurse in Gainesville, GA

Active since April 13, 2007
1290 ATHENS ST, GAINESVILLE, GA 30507(770) 531-5641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Carol Pruitt Lpn NPPES

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

LISA CAROL PRUITT LPN (NPI 1669697058) is an individual licensed practical nurse in Gainesville, Georgia, licensed in Georgia (LPN023340) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669697058
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA CAROL PRUITTCredential: LPN
Location Address1290 ATHENS STGainesville, GA 30507-7000
Mailing Address306 Smokerise DrSautee Nacoochee, GA 30571-3223 · (706) 865-0466
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1669697058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in GA · LPN023340
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1290 ATHENS ST, Gainesville, GA 30507

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.

Dentist (General Practice)
1290 ATHENS ST, HALL COUNTY HEALTH DEPARTMENT
GAINESVILLE, GA 30507
Family Medicine
1290 ATHENS ST
GAINESVILLE, GA 30507
Dentist (General Practice)
1290 ATHENS ST
GAINESVILLE, GA 30507
Public Health or Welfare
1290 ATHENS ST
GAINESVILLE, GA 30507
Registered Nurse (Community Health)
1290 ATHENS ST
GAINESVILLE, GA 30507
Licensed Practical Nurse
1290 ATHENS ST
GAINESVILLE, GA 30507
Clinic/Center (Public Health, State or Local)
1290 ATHENS ST
GAINESVILLE, GA 30507
Registered Nurse (Pediatrics)
1290 ATHENS ST
GAINESVILLE, GA 30507

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 Lisa Pruitt's NPI number?

The NPI number for Lisa Pruitt is 1669697058. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Lisa Pruitt located?

Lisa Pruitt practices at 1290 Athens St, Gainesville, GA 30507. The listed phone number is (770) 531-5641.

What is Lisa Pruitt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Pruitt was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.