Healthcare Provider Details

I. General information

NPI: 1669614301
Provider Name (Legal Business Name): ELLEN JOYCE WRIGHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELLEN JOYCE BLAKESLEE RN

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 81 BOX 265C
LEWISBURG WV
24901-9544
US

IV. Provider business mailing address

HC 81 BOX 265C
LEWISBURG WV
24901-9544
US

V. Phone/Fax

Practice location:
  • Phone: 304-667-1067
  • Fax:
Mailing address:
  • Phone: 304-667-1067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number36483
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001181606
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberUNKNOWN
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberUNKNOWN
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: