Healthcare Provider Details

I. General information

NPI: 1073486452
Provider Name (Legal Business Name): CHEYENNE NICOLE WRIGHT MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S WHITE HORSE PIKE
HAMMONTON NJ
08037-2014
US

IV. Provider business mailing address

1382 HARDING HWY
RICHLAND NJ
08350-2200
US

V. Phone/Fax

Practice location:
  • Phone: 609-270-4260
  • Fax:
Mailing address:
  • Phone: 305-924-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15429100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: