Provider Demographics
NPI:1790010643
Name:WRIGHT, PAMELA F (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:F
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:MRS
Other - First Name:PAMELA
Other - Middle Name:F
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RN
Mailing Address - Street 1:744 MIDDLE CREEK RD
Mailing Address - Street 2:STE 108
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5015
Mailing Address - Country:US
Mailing Address - Phone:865-446-9725
Mailing Address - Fax:865-446-9726
Practice Address - Street 1:744 MIDDLE CREEK RD
Practice Address - Street 2:STE 108
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5015
Practice Address - Country:US
Practice Address - Phone:865-446-9725
Practice Address - Fax:865-446-9726
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN106818163W00000X
TN14377363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518106Medicaid
TN1518106Medicaid