1245229418 NPI number — MS. JOAN MCFARLAND WRIGHT MSN FPN

Table of content: MS. JOAN MCFARLAND WRIGHT MSN FPN (NPI 1245229418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245229418 NPI number — MS. JOAN MCFARLAND WRIGHT MSN FPN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WRIGHT
Provider First Name:
JOAN
Provider Middle Name:
MCFARLAND
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSN FPN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245229418
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5520 HIGH ST
Provider Second Line Business Mailing Address:
OOLTEWAH CLINIC
Provider Business Mailing Address City Name:
OOLTEWAH
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37363-8131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-238-4260
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5520 HIGH ST
Provider Second Line Business Practice Location Address:
OOLTEWAH CLINIC
Provider Business Practice Location Address City Name:
OOLTEWAH
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37363-8131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-238-4260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN 5486 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com