Provider Demographics
NPI:1386470227
Name:WRIGHT, JERMESHA MOTTON (APRN)
Entity type:Individual
Prefix:MRS
First Name:JERMESHA
Middle Name:MOTTON
Last Name:WRIGHT
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MRS
Other - First Name:JERMESHA
Other - Middle Name:MOTTON
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:47 WILKINS AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-3024
Mailing Address - Country:US
Mailing Address - Phone:475-210-5492
Mailing Address - Fax:475-210-6171
Practice Address - Street 1:47 LONG LOTS RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3828
Practice Address - Country:US
Practice Address - Phone:203-227-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT14600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program