Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Nicole Pruitt, ANP

Individual provider Nurse Practitioner · NPI 1093021826

Brooke Nicole Pruitt, ANP is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2010, 16 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
16
Licensed in
AR
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

4802 E Johnson Ave
Jonesboro, AR 72401-8413
Phone: (870) 936-8000
Fax: (870) 934-3630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A003418 (AR)
Nurse Practitioner Taxonomy 363L00000X · Licence A03418 ANP (AR)

Record details

NPI number1093021826
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESFebruary 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Jonesboro