Healthcare Provider Details

I. General information

NPI: 1790293363
Provider Name (Legal Business Name): WRIGHT AND ASSOCIATES MEDICAL LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MAIN STREET UNIT 1 AND 2
WEAVER AL
36277
US

IV. Provider business mailing address

PO BOX 4824
ANNISTON AL
36204-4824
US

V. Phone/Fax

Practice location:
  • Phone: 256-239-8984
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0310252
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2015023821
License Number StateAL

VIII. Authorized Official

Name: MS. NAKIA RENEE LITTLEJOHN
Title or Position: CEO
Credential: PMHNP-BC, FNP-BC
Phone: 256-239-8984