Healthcare Provider Details

I. General information

NPI: 1962293076
Provider Name (Legal Business Name): TARA M. WRIGHT DNP, FNP, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 SE 3RD AVE STE E
OCALA FL
34471-5103
US

IV. Provider business mailing address

9 SEQUOIA LOOP TRCE
OCKLAWAHA FL
32179-4375
US

V. Phone/Fax

Practice location:
  • Phone: 864-770-3714
  • Fax:
Mailing address:
  • Phone: 864-770-3714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360591
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number109864
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049739
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: