NPI 1093112047

Jessica Pruitt

Practitioner Veterinarian Soddy Daisy, TN

Practice location

Address: 222 Sequoyah Rd, Soddy Daisy, TN 37379-5154
Phone: (423) 332-0979

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 5703 (TN)

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Registry record

NPI: 1093112047
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2014
Record last updated: 19 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.