NPI 1316500366

Destiny Pratt Wright

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Jacksonville, FL

Practice location

Address: 846 Baker Ave, Jacksonville, FL 32209-7543
Phone: (904) 322-3706

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1316500366
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2019
Record last updated: 13 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.