Provider Demographics
NPI:1083431142
Name:WRIGHT, DARIN TYLER (APN)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:TYLER
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BRADFORD WAY STE 500
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-3126
Mailing Address - Country:US
Mailing Address - Phone:865-285-9588
Mailing Address - Fax:865-297-4188
Practice Address - Street 1:1000 BRADFORD WAY STE 500
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-3126
Practice Address - Country:US
Practice Address - Phone:865-285-9588
Practice Address - Fax:865-297-4188
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN36744363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner