Healthcare Provider Details

I. General information

NPI: 1962316927
Provider Name (Legal Business Name): ZAKAIYA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 HOGG CREEK DR
FLOWOOD MS
39232-3166
US

IV. Provider business mailing address

4317 WILDWOOD DR
JACKSON MS
39212-3541
US

V. Phone/Fax

Practice location:
  • Phone: 601-987-7918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number3864
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: