Provider Demographics
NPI:1942249677
Name:WRIGHT, SHERYL LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:LYNN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 SAINT JOHN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-2209
Mailing Address - Country:US
Mailing Address - Phone:731-285-6110
Mailing Address - Fax:731-285-6964
Practice Address - Street 1:2017 SAINT JOHN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-2209
Practice Address - Country:US
Practice Address - Phone:731-285-6110
Practice Address - Fax:731-285-6964
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMW0739687OtherDEA #
TNMW0739687OtherDEA #
TNP16342Medicare UPIN