Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LG0600X | Nurse Practitioner - Gerontology | R854233 | MS |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R854233 | MS |
NPI | 1073840021 |
---|---|
Provider Name | Alanna Jillian Wright |
First Address | Jackson, MS 39204-3425 |
Second Address | Jackson, MS 39204-3425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2009 |
Last Update Date | 05/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R854233 | RN (01) | MS |