Provider Demographics
NPI:1225549645
Name:WRIGHT, ANGELA J (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:J
Other - Last Name:PITCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2319 WILLOW WOOD TRL
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75161-1201
Mailing Address - Country:US
Mailing Address - Phone:901-409-7250
Mailing Address - Fax:
Practice Address - Street 1:519 N GUN BARREL LN STE C
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-3701
Practice Address - Country:US
Practice Address - Phone:903-804-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS886611163W00000X
TNAPN23343363LF0000X
MS902187363LF0000X
TXAP136265363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily