Provider Demographics
NPI:1265984272
Name:WRIGHT, JEANETTE LOCKETT (AGACNP)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:LOCKETT
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:JEANETTE
Other - Middle Name:LOCKETT
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10100 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 560
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4159
Mailing Address - Country:US
Mailing Address - Phone:469-916-0087
Mailing Address - Fax:469-916-0089
Practice Address - Street 1:221 W COLORADO BLVD STE 525
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2312
Practice Address - Country:US
Practice Address - Phone:214-960-5681
Practice Address - Fax:214-960-5681
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132392363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care