Provider Demographics
NPI:1528413796
Name:WRIGHT, SHAMEKA D'ANN
Entity type:Individual
Prefix:MS
First Name:SHAMEKA
Middle Name:D'ANN
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 1:15003 PARKWAY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-1828
Mailing Address - Country:US
Mailing Address - Phone:501-538-0893
Mailing Address - Fax:
Practice Address - Street 1:15003 PARKWAY MEADOWS DR
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-1828
Practice Address - Country:US
Practice Address - Phone:501-538-0893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator