| Jennie Pruitt, | |
|
747 Highway 59 Ste 4, Westville, OK 74965 | |
| (479) 220-9857 | |
| Not Available |
| Full Name | Jennie Pruitt |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 747 Highway 59 Ste 4, Westville, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720349327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Pruitt, 747 Highway 59 Ste 4, Westville, OK 74965-1508 Ph: (479) 220-9857 | Jennie Pruitt, 747 Highway 59 Ste 4, Westville, OK 74965 Ph: (479) 220-9857 |
Amy Rusk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Hwy 59 #4, Westville, OK 74965 Phone: 918-723-3735 Fax: 918-723-3730 | |
Jesse Craighead, Counselor Medicare: Medicare Enrolled Practice Location: 747 Highway 59 # 4, Westville, OK 74965 Phone: 918-723-3757 | |
Charles Cornelius Pastoor, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Highway 59, Westville, OK 74965 Phone: 918-723-3735 |