Provider Demographics
NPI:1407698996
Name:WRIGHT, JEAN LAURA
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:LAURA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9106 DORIS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2415
Mailing Address - Country:US
Mailing Address - Phone:202-487-4659
Mailing Address - Fax:
Practice Address - Street 1:907 6TH ST SW APT 203C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-3825
Practice Address - Country:US
Practice Address - Phone:202-674-2422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider