Healthcare Provider Details

I. General information

NPI: 1245155639
Provider Name (Legal Business Name): DEANDREA LAKESHA WRIGHT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

771 ROUNTREE DR SW
DAWSON GA
39842
US

IV. Provider business mailing address

771 ROUNTREE DR SW
DAWSON GA
39842
US

V. Phone/Fax

Practice location:
  • Phone: 229-270-1905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-315035
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP233395
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: