Provider Demographics
NPI:1477180958
Name:WRIGHT AND ASSOCIATES MEDICAL LOGISTICS LLC
Entity Type:Organization
Organization Name:WRIGHT AND ASSOCIATES MEDICAL LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LITTLEJOHN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-BC
Authorized Official - Phone:256-343-3704
Mailing Address - Street 1:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:SAINT ELMO
Mailing Address - State:AL
Mailing Address - Zip Code:36568-0063
Mailing Address - Country:US
Mailing Address - Phone:256-581-5708
Mailing Address - Fax:586-204-0601
Practice Address - Street 1:1403 43RD AVE
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39501-2545
Practice Address - Country:US
Practice Address - Phone:256-581-5708
Practice Address - Fax:586-204-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty