Individual
ROYDALE JERMAINE WRIGHT
Active
Individual
ROYDALE JERMAINE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN276174
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN276174
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN276174
GEORGIA BOARD OF NURSING RN AND NP LICENSES
GA
Enumeration date
08/25/2017
Last updated
08/30/2021
Update your record
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