Jennifer Pruhs
Nurse Practitioner - Women's Health
620 John Paul Jones Cir
Portsmouth
, Virginia 23708-2111
Jennifer Pruhs
Nurse Practitioner - Women's Health
620 John Paul Jones Cir
Portsmouth
, Virginia 23708-2111
(757) 953-9035
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jennifer Pruhs
- 2015 Kenlake Pl
- Norfolk, VA
- Zip : 23518-5305
- Fax : (757) 953-9035
- Phone : (757) 477-2875
Second Address
- Jennifer Pruhs
- 620 John Paul Jones Cir
- Portsmouth, VA
- Zip : 23708-2111
- Fax : (757) 953-9035
- Phone : (757) 477-2875
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024165128 | VA |
National Provider Identifier
| NPI | 1043246770 |
|---|---|
| Provider Name | Jennifer Pruhs |
| First Address | Norfolk, VA 23518-5305 |
| Second Address | Portsmouth, VA 23708-2111 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 02/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 007792751 | (05) | VA |
| P57124 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.