Healthcare Provider Details

I. General information

NPI: 1194650481
Provider Name (Legal Business Name): JOSHUA SCOTT WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 OUACHITA ST
ARKADELPHIA AR
71998-0001
US

IV. Provider business mailing address

663 COX LANDING RD
AMITY AR
71921-5100
US

V. Phone/Fax

Practice location:
  • Phone: 870-245-5103
  • Fax:
Mailing address:
  • Phone: 501-282-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: