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Individual
MRS. STEFANIE LEA GRAY
Active
Individual
MRS. STEFANIE LEA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12648
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341164
—
TN
01
—
4157106
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/07/2007
Last updated
06/28/2010
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