Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 104100000X | Social Worker | ||
N | 363LA2100X | Nurse Practitioner - Acute Care | RN259194 | GA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN259194 | GA |
NPI | 1134254790 |
---|---|
Provider Name | Dr. Shawna A Wright |
First Address | Atlanta, GA 30349-3792 |
Second Address | Decatur, GA 30033-5918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 06/08/2020 |