# TRACI GRAY, NURSE PRACTITIONER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447116736
- **Authorized official:** TRACI GRAY APRN (PWNER)
- **Authorized official phone:** (318) 481-5724

## Contact information

- **Practice address:** 307 CARPENTER ST, JENA, LA 71342-7143
- **Practice address phone:** (318) 452-8650
- **Practice address fax:** (318) 992-8473
- **Mailing address:** 9663 HIGHWAY 84 E, JENA, LA 71342-5435
- **Mailing address phone:** (318) 316-2722
- **Mailing address fax:** (318) 257-1468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2025
- **Last updated:** 12/30/2025