Healthcare Provider Details

I. General information

NPI: 1386787679
Provider Name (Legal Business Name): MRS. ROBBIN A WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 HIGHWAY 49 SUITE Q
FLORA MS
39071-9278
US

IV. Provider business mailing address

740 HIGHWAY 49 SUITE Q
FLORA MS
39071-9278
US

V. Phone/Fax

Practice location:
  • Phone: 601-401-5095
  • Fax: 601-401-5096
Mailing address:
  • Phone: 601-401-5095
  • Fax: 601-401-5096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: