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

Whitney Boni Pruitt, AGNP

Individual provider Primary Care Nurse Practitioner · NPI 1104543545

Whitney Boni Pruitt, AGNP is a Nurse Practitioner in Shallotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

512 Village Rd Ste 207
Shallotte, NC 28470-3409
Phone: (910) 662-7500
Fax: (910) 662-7501
Show map & directions

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

Additional practice locations (1)

  • 270 U.S. 701, Tabor City, Nc, 28463, Tabor City, NC 28463-2846 — (910) 653-1901

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017081 (NC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 5017081 (NC)

Record details

NPI number1104543545
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shallotte