Provider Demographics
NPI:1659613966
Name:WRIGHT, JENNI CHARITY (NP-C)
Entity Type:Individual
Prefix:
First Name:JENNI
Middle Name:CHARITY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:NICOLE
Other - Last Name:CHARITY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15 MEDICAL DR NE
Mailing Address - Street 2:STE 101
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8005
Mailing Address - Country:US
Mailing Address - Phone:770-386-5221
Mailing Address - Fax:770-386-1128
Practice Address - Street 1:19 REDMOND RD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1533
Practice Address - Country:US
Practice Address - Phone:706-233-8504
Practice Address - Fax:706-233-8505
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN175976363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner