Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 124Q00000X | Dental Hygienist | 3985 | TN |
Y | 174N00000X | Lactation Consultant |
NPI | 1376973248 |
---|---|
Provider Name | Mrs. Sherrie Holland Pruitt |
First Address | Gallatin, TN 37066-6318 |
Second Address | Gallatin, TN 37066-6318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2013 |
Last Update Date | 15/08/2021 |