Provider Demographics
NPI:1578008801
Name:WRIGHT, MELODY (FNP)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 WILCOX RD APT A
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-6229
Mailing Address - Country:US
Mailing Address - Phone:740-317-3237
Mailing Address - Fax:844-408-3998
Practice Address - Street 1:10927 MAHONING AVE
Practice Address - Street 2:
Practice Address - City:NORTH JACKSON
Practice Address - State:OH
Practice Address - Zip Code:44451-8705
Practice Address - Country:US
Practice Address - Phone:740-317-3237
Practice Address - Fax:844-408-3998
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-22
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0198366Medicaid
OH0044691Medicaid