Healthcare Provider Details

I. General information

NPI: 1336454776
Provider Name (Legal Business Name): JENNIFER WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 BRUCE B DOWNS BLVD STE 203
WESLEY CHAPEL FL
33544-9203
US

IV. Provider business mailing address

38135 MARKET SQUARE DR
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-528-4900
  • Fax: 813-355-5064
Mailing address:
  • Phone: 813-528-4900
  • Fax: 813-355-5064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11028399
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11028399
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3471
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: