Provider Demographics
NPI:1831495795
Name:WRIGHT, TRACEY (RN MSN FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:TRACEY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN MSN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 KING CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7183
Mailing Address - Country:US
Mailing Address - Phone:919-562-0991
Mailing Address - Fax:
Practice Address - Street 1:4420 LAKE BOONE TRL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7505
Practice Address - Country:US
Practice Address - Phone:919-784-5600
Practice Address - Fax:919-784-5601
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC157706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily