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General NPI Number Information
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NPI Number | 1811960032
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Entity Type | Individual
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Provider Name | MS. LAKISHA SHARDEEN WRIGHT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 200 BRULE ST
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City | FORT KNOX
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State | KY
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Zip | 40121-6100
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Country | US
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Telephone | 502-500-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 103 MALLARD CROSSING CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-6979
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Country | US
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Telephone | 719-338-1559
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60428116
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60428114
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License Number State | WA
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