Jackie Leigh Pruitt, CHW
NPI #1225857063 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1225857063
- Entity Type
- Individual
- Name
- Jackie Leigh Pruitt, CHW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- CHW
- Enumeration Date
- Oct 8, 2024
- Last Updated
- Jul 7, 2025
Practice Location
- Address
- 166 WESTVIEW DR
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-3508
- Phone
- (903) 910-7804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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