| NPI | 1740632769 |
|---|---|
| Former Name | JENNA MARIE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60669356) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2023-01-19 |