Individual
DIANA S. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8805
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.10070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000267588
OH MEDICAID UNISON
OH
01
—
2953362
OH MEDICAID MOLINA
OH
05
—
2953362
—
OH
01
—
310917085205
OH MEDICAID CARESOURCE
OH
05
—
3810014716
—
WV
01
—
PO0715355
MEDICARE RAILROAD
OH
Enumeration date
01/06/2009
Last updated
01/11/2021
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