Individual
KEVAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 396-0388
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11021298
FL
363LF0000X
Family Nurse Practitioner
11021298
FL
363LF0000X
Family Nurse Practitioner
APRN11021298
FL
Other
Enumeration date
08/13/2022
Last updated
03/03/2023
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