Provider Demographics
NPI:1699167957
Name:WRIGHT, SHEMEKA
Entity type:Individual
Prefix:
First Name:SHEMEKA
Middle Name:
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 1:3032 KELLY CIR APT F
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-5216
Mailing Address - Country:US
Mailing Address - Phone:334-350-8298
Mailing Address - Fax:
Practice Address - Street 1:3032 KELLY CIR APT F
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-5216
Practice Address - Country:US
Practice Address - Phone:334-350-8298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide