Dereck Ta Shante Wright, AGACNP-BC
NPI #1144810144 in Greenville, Texas
Provider Information
- NPI Number
- 1144810144
- Entity Type
- Individual
- Name
- Dereck Ta Shante Wright, AGACNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- AGACNP-BC
- Enumeration Date
- Jan 22, 2021
- Last Updated
- Feb 11, 2025
Practice Location
- Address
- 4215 JOE RAMSEY BLVD E
- City
- Greenville
- State
- Texas
- ZIP Code
- 75401-7852
- Phone
- (903) 408-5834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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