Jacque Wright, BSPP

Primary specialty

ContractorTaxonomy code 171W00000X

License

058028919 Issued in GA

Practice address

1503 E Moore St
Valdosta, GA 31601-3364

Phone

(352) 870-9289

NPI assigned

Sep 21, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1932657764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316013364",
            "telephone_number": "352-870-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E MOORE ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316013364",
            "telephone_number": "352-870-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JACQUE",
        "credential": "BSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "058028919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worthington Family Dentistry, P.C.
• Travis Worthman, D.C.
• Bernard Joseph Wortman III, FNP-C
• Adrienne Woske, OT
• Holly H Wright, LPC
• Janice Monique Wright, PP
• John L Wright, M.D.
• Khrystal Wright, PP
• Wayne Cameron Wright, M.D.
• Courtney Mayton Wynens, M.ED,CCC-SLP

• Contractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.