Individual
STACY R WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-0231
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-0231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
187587
AK
363LF0000X
Family Nurse Practitioner
Primary
209010682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187587
STATE LICENSE - ADVANCED PRACTICE
AK
01
—
2013011454
FNP BOARD CERTIFICATION - ANCC
—
01
—
209010682
STATE LICENSE
IL
Enumeration date
08/28/2013
Last updated
06/10/2026
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