Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101057761 | VA |
N | 111NI0900X | Internist | 0101057761 | VA |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101057761 | VA |
NPI | 1346276417 |
---|---|
Provider Name | Dr. Jennie Webb-Wright |
First Address | Richmond, VA 23227-1149 |
Second Address | Richmond, VA 23227-1149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 30/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010162289 | (05) | VA |
108345 | ANTHEM BCBS (01) | VA |
C06778 | GROUP PTAN (01) | VA |
G89113 | (02) | |
P00274618 | RR MEDICARE (01) | VA |