Healthcare Provider Details

I. General information

NPI: 1124457478
Provider Name (Legal Business Name): IESHA WRIGHT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2013
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 SPRING ST APT 2A
OSSINING NY
10562-4821
US

IV. Provider business mailing address

37 SPRING ST APT 2A
OSSINING NY
10562-4821
US

V. Phone/Fax

Practice location:
  • Phone: 757-337-7017
  • Fax:
Mailing address:
  • Phone: 757-337-7017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF407978-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: