Provider Demographics
NPI:1548821739
Name:WRIGHT, JENNIFER ASHLEY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ASHLEY
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:751 N MAIN ST APT 3318
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2773
Mailing Address - Country:US
Mailing Address - Phone:214-930-1233
Mailing Address - Fax:
Practice Address - Street 1:215 OLD HIGHWAY 1187
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-0281
Practice Address - Country:US
Practice Address - Phone:817-926-2663
Practice Address - Fax:817-293-8860
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2023-01-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant