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Jackson Pruett
NPI 1407634272 · Independent Duty Corpsman · Fpo, Aa, CA
Jackson Pruett is a Independent Duty Corpsman provider in Fpo, Aa, CA (NPI 1407634272).
Provider details
- NPI number
- 1407634272
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Bldg 4101, El Camino Real
Fpo, Aa, CA 92058
Phone: (760) 725-1288
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 555584
Oceanside, CA 92055-5584
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-05
Frequently asked questions
- What is Jackson Pruett's NPI number?
- Jackson Pruett's National Provider Identifier (NPI) is 1407634272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Pruett's specialty?
- Jackson Pruett is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jackson Pruett located?
- Jackson Pruett's practice location on file with NPPES is Bldg 4101, El Camino Real, Fpo, Aa, CA 92058.
- What is Jackson Pruett's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pruett is (760) 725-1288.
- Is Jackson Pruett's NPI active?
- Yes — Jackson Pruett's NPI (1407634272) is active in the NPPES registry as of the last update on 2023-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.