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Contact Information

OLWYN R PRUITT
2707 BROWNS LN
JONESBORO, AR72401-7213
 Phone: 702-428-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for OLWYN R PRUITT · (Female)

NPI Number 1407154883
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2011
Last updated 11/14/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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