Provider Demographics
NPI:1245576453
Name:WRIGHT, JESSI LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSI
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 S ARLINGTON MILL DR
Mailing Address - Street 2:UNIT E
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-4058
Mailing Address - Country:US
Mailing Address - Phone:908-872-3905
Mailing Address - Fax:
Practice Address - Street 1:5105A BACKLICK RD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-6005
Practice Address - Country:US
Practice Address - Phone:703-642-8685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor