Provider Demographics
NPI:1306929120
Name:WRIGHT, DONNA KAY (APN-BC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KAY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1777
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-1777
Mailing Address - Country:US
Mailing Address - Phone:423-949-2171
Mailing Address - Fax:423-949-5118
Practice Address - Street 1:67 CATES ST
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-6004
Practice Address - Country:US
Practice Address - Phone:423-949-2171
Practice Address - Fax:423-949-5118
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012169363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33446973Medicare PIN