Healthcare Provider Details

I. General information

NPI: 1851302954
Provider Name (Legal Business Name): JENNIFER L. WRIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 70
MIDDLETOWN CT
06457-0070
US

IV. Provider business mailing address

721 THOMPSON DR
KERRVILLE TX
78028-5154
US

V. Phone/Fax

Practice location:
  • Phone: 860-262-5400
  • Fax:
Mailing address:
  • Phone: 478-696-4733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number84675
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberM5591
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: