Healthcare Provider Details

I. General information

NPI: 1205452984
Provider Name (Legal Business Name): MONICA ANNE WRIGHT APRN, FNP-C, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 IC KING RD
SEYMOUR TN
37865-3150
US

IV. Provider business mailing address

5000 WESTERN AVE APT 1702
KNOXVILLE TN
37921-4173
US

V. Phone/Fax

Practice location:
  • Phone: 815-216-0332
  • Fax:
Mailing address:
  • Phone: 815-216-0332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number41669
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41669
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: