Individual
JENNIFER WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 HEATHERVIEW CT, BATON ROUGE, LA 70815
(225) 636-1219
Mailing address
1600 HEATHERVIEW CT, BATON ROUGE, LA 70815
(225) 636-1219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
067817
LA
363LF0000X
Family Nurse Practitioner
R47932
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067817
LA RN LICENSE
LA
05
—
1684708
—
LA
01
—
R47932
STATE LICENSE
NM
Enumeration date
07/26/2006
Last updated
03/10/2022
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