Wright, Phyllis Renee
Wright, Phyllis Renee is an individual health care provider with primary practice located at 153A S Market St , Holly Springs MS 38635-3029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wright, Phyllis Renee can be contacted via phone (662) 252-9987.Contact Information
Primary practice address
153A S Market St
Holly Springs MS 38635-3029
Phone: (662) 252-9987
Fax: (662) 252-7517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R575399 | Mississippi |
Profile Details
| NPI number | 1417913120 |
|---|---|
| LBN Legal business name | Wright, Phyllis Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417913120 | NPPES |
| Mississippi | MEDICAID | 0121760 |
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