Individual
JENNIFER PUGH WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1083 E RELHAM AVE, LOXLEY, AL 36551-2406
(251) 964-4011
(251) 964-4012
Mailing address
8404 MORPHY AVE, FAIRHOPE, AL 36532-3690
(251) 786-1331
(251) 964-4012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1076359
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532895
BLUECROSS BLUESHIELD
AL
Enumeration date
05/19/2006
Last updated
07/08/2007
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