Individual
MRS. JESSICA M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
790 MONTCLAIR RD, SUITE 200, BIRMINGHAM, AL 35213-1966
(205) 599-1020
(205) 599-1029
Mailing address
790 MONTCLAIR RD, SUITE 200, BIRMINGHAM, AL 35213-1966
(205) 599-1020
(205) 599-1029
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-122709
AL
363LA2200X
Adult Health Nurse Practitioner
1122709
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631081415
TAX ID
AL
Enumeration date
02/08/2012
Last updated
09/21/2016
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