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Individual

DENISE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1746-C MS STATE HWY 1 SOUTH, GREENVILLE, MS 38701
(662) 743-9809
Mailing address
131 SAUNDERSVILLE RD STE 160, HENDERSONVILLE, TN 37075-8940

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R859946
MS
363LF0000X
Family Nurse Practitioner
Primary
R859946
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
335475YXV2
MEDICARE PTAN
MS
Enumeration date
02/04/2014
Last updated
09/02/2015
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