Provider Demographics
NPI:1386213700
Name:WRIGHT, JESSICA MARIA (MSN, APRN, NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MARIA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, APRN, NNP-BC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:MARIA
Other - Last Name:ROMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 DERBY LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-0347
Mailing Address - Country:US
Mailing Address - Phone:940-765-4965
Mailing Address - Fax:
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2796
Practice Address - Country:US
Practice Address - Phone:682-885-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104390321363LN0000X
TX821482163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care