Provider Demographics
NPI:1790654564
Name:WRIGHT, FELICIA MICHELLE (NP)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:MICHELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:MICHELLE
Other - Last Name:CARLILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:562 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-5382
Mailing Address - Country:US
Mailing Address - Phone:931-854-9601
Mailing Address - Fax:
Practice Address - Street 1:562 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-5382
Practice Address - Country:US
Practice Address - Phone:931-854-9601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily