Provider Demographics
NPI:1669350583
Name:WRIGHT, JENNIFER LEIGHANN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEIGHANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 HONEYSUCKLE CV
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-6314
Mailing Address - Country:US
Mailing Address - Phone:731-413-7154
Mailing Address - Fax:
Practice Address - Street 1:178 HONEYSUCKLE CV
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-6314
Practice Address - Country:US
Practice Address - Phone:731-413-7154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39731363LF0000X
TN171385163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse