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

Jeremy Edward Pruitt, IDC

Individual provider Independent Duty Corpsman · NPI 1992939458

Jeremy Edward Pruitt, IDC is an Independent Duty Corpsman in FPO, Armed Forces Americas. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Uss Warrior Mcm 10 Crew Constant - EH01
FPO, AA 34093-1930
Phone: (361) 385-0592

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1992939458
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedMay 12, 2009
Last updated in NPPESMay 12, 2009

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