Provider Demographics
NPI:1801004981
Name:WRIGHT, JENSINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENSINE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 S CRAYCROFT RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-7118
Mailing Address - Country:US
Mailing Address - Phone:520-747-0446
Mailing Address - Fax:520-747-0417
Practice Address - Street 1:888 S CRAYCROFT RD
Practice Address - Street 2:SUITE 150
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7118
Practice Address - Country:US
Practice Address - Phone:520-747-0446
Practice Address - Fax:520-747-0417
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ192112083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ19211OtherAZ M.D. LICENSE NUMBER