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

Jacey Layne Pruitt

Individual provider Independent Duty Corpsman · NPI 1346191459

Jacey Layne Pruitt is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-5291
Phone: (619) 532-9712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1346191459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2026
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 4, 2026

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