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

Jenny M Pruitt, PA

Individual provider Medical Physician Assistant · NPI 1528249133

Jenny M Pruitt, PA is a Physician Assistant in Lebanon, Virginia. Qualified in 2007, 19 years ago. Practices with Clyburn Physician Services LLC, a 19-clinician group and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

58 Carroll St Rm 2037
Lebanon, VA 24266
Phone: (276) 883-8062
Fax: (276) 883-8064
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002659 (VA)

Record details

NPI number1528249133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 26, 2007
Last updated in NPPESFebruary 23, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Clyburn Physician Services Llc — 19 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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