Provider Demographics
NPI:1376777508
Name:WRIGHT, EVELYN LORRAINE (APN-C)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:LORRAINE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-2762
Mailing Address - Country:US
Mailing Address - Phone:931-766-7056
Mailing Address - Fax:931-766-7057
Practice Address - Street 1:1276 1ST AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-2762
Practice Address - Country:US
Practice Address - Phone:931-766-7056
Practice Address - Fax:931-766-7057
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14119364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN14119OtherNURSE PRACTIONER LICENSE NUMBER