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1225549645 NPI number — ANGELA J WRIGHT FNP-C

NPI Number: 1225549645
Health Care Provider/Practitioner: ANGELA J WRIGHT FNP-C

Information about “1225549645” NPI (ANGELA J WRIGHT FNP-C) exists in 1225549645 in HTML format HTML  |  1225549645 in plain Text format TXT  |  1225549645 in PDF (Portable Document Format) PDF  |  1225549645 in an XML format XML  formats.

NPI Number : 1225549645 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225549645",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WRIGHT",
    "FirstName": "ANGELA",
    "MiddleName": "J",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PITCHER",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2319 WILLOW WOOD TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TERRELL",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75161-1201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-409-7250",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "519 N GUN BARREL LN STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GUN BARREL CITY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75156-3701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-804-4232",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2017",
    "LastUpdateDate": "07/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "886611",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APN23343",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "902187",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "AP136265",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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