MEDICARE: MRS. DESIREE WRIGHT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	194301	TN
2	363L00000X	Nurse Practitioner	32018	TN

General Provider Information

NPI Number	:	1528713328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DESIREE WRIGHT APRN

Provider Business Mailing Address
First Line	:	200 NEW YORK AVE STE 200
Second Line	:
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-5225
Country	:	US
Telephone Number	:	865-835-5400
Fax Number	:	865-835-5401

Provider Business Practice Location Address
First Line	:	1924 ALCOA HWY STE 370
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-5622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	05/08/2026

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