Individual
JAMILLAH WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 22ND AVE S, ST PETERSBURG, FL 33705-2934
(727) 388-1169
(727) 322-2130
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 388-1169
(727) 322-2130
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802059157
CFARS
FL
01
—
805055517
FARS
FL
Enumeration date
11/20/2020
Last updated
11/20/2020
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