Healthcare Provider Details

I. General information

NPI: 1578540209
Provider Name (Legal Business Name): JULIE ANNE WRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 SUNFOREST DR STE 200
TAMPA FL
33634-6322
US

IV. Provider business mailing address

17633 SE 93RD CARSON TER
THE VILLAGES FL
32162-3802
US

V. Phone/Fax

Practice location:
  • Phone: 866-686-2504
  • Fax:
Mailing address:
  • Phone: 978-766-7229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number258167
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11034044
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: