Individual
JACOB RYAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
9238 MADISON BLVD STE 750, MADISON, AL 35758-9164
(256) 724-8880
(888) 951-7515
Mailing address
16891 HOLLINGS TRL NW, HARVEST, AL 35749-4513
(256) 609-7502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-184373
AL
Other
Enumeration date
02/13/2023
Last updated
02/23/2025
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