| Doctor Name: | JENNIFER PRUHS |
| NPI Number: | 1043246770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | 0024165128 |
| Business Practice Address: | 713 Volvo Pkwy Ste 200 Chesapeake, VA - 233201614 |
| Business Phone Number: | 7575474500 |
| Business Fax Number: | 7575474502 |
| Mailing Address: | 713 Volvo Pkwy, Ste 200 CHESAPEAKE |
| State: | VA |
| Postal Code: | 233201614 |
| Phone Number: | 7575474500 |
| Fax Number: | 7575474502 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0024165128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |