Provider Demographics
NPI:1588358881
Name:WRIGHT, JAYME SUE (MSN, RNC-NIC, IBCLC)
Entity type:Individual
Prefix:
First Name:JAYME SUE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, RNC-NIC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9608 PASTORA PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4336
Mailing Address - Country:US
Mailing Address - Phone:301-503-6146
Mailing Address - Fax:
Practice Address - Street 1:9608 PASTORA PL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4336
Practice Address - Country:US
Practice Address - Phone:301-503-6146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL-125773163WL0100X
MDR200709163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant