Provider Demographics
NPI:1164282422
Name:WRIGHT, JAZMIN EBONY (CRNP)
Entity type:Individual
Prefix:
First Name:JAZMIN
Middle Name:EBONY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N BROAD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-4603
Mailing Address - Country:US
Mailing Address - Phone:856-436-0035
Mailing Address - Fax:833-740-4280
Practice Address - Street 1:22 N BROAD ST FL 2
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-4603
Practice Address - Country:US
Practice Address - Phone:856-436-0035
Practice Address - Fax:833-740-4280
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15272700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health