Provider Demographics
NPI:1750136990
Name:WRIGHT, JENNIFER
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11118 N 600 E
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46161-9740
Mailing Address - Country:US
Mailing Address - Phone:317-937-4603
Mailing Address - Fax:
Practice Address - Street 1:11118 N 600 E
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:IN
Practice Address - Zip Code:46161-9740
Practice Address - Country:US
Practice Address - Phone:317-937-4603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach