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

Jillene Pruiett

Individual provider Community/Behavioral Health Agency · NPI 1790630861

Jillene Pruiett is a Community/Behavioral Health Agency in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

11409 Governor Ave
Cleveland, OH 44111-3675
Phone: (216) 412-1339
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (OH)

Record details

NPI number1790630861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateFebruary 25, 2026

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