Individual
JENNIFER WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4155
(318) 429-4748
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4155
(318) 429-4748
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31243
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774770
—
AZ
Enumeration date
03/27/2006
Last updated
05/22/2013
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