Provider Demographics
NPI:1073840021
Name:WRIGHT, ALANNA JILLIAN (GNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:JILLIAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:GNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 CHADWICK DR STE 202
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39204-3466
Mailing Address - Country:US
Mailing Address - Phone:601-373-1766
Mailing Address - Fax:301-373-1767
Practice Address - Street 1:1860 CHADWICK DR STE 202
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-3466
Practice Address - Country:US
Practice Address - Phone:601-373-1766
Practice Address - Fax:601-373-1767
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR854233363LG0600X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSR854233OtherRN