Jason Wrightner
Individual provider Active NPI Licensed Practical Nurse · Clay, MI
NPI 1679345672 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1679345672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703113267 (MI)
- Practice address
- 3040 Fruit St
Clay, MI 48001-4802 - Phone
- (810) 543-5596
- NPI assigned
- Oct 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703113267 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703113267 | MI | Yes |
Addresses
Primary practice location
3040 Fruit St
Clay, MI 48001-4802
Mailing address
3040 Fruit St
Clay, MI 48001-4802
Other providers in Clay, MI
- Rebecca Ann Miller
- Jamie Lynne Overbaugh
- Strong Roots Therapy LLC
- Wandering Path Counseling, LLC
- Ashley Wojciechowski
All providers in Clay, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.