Individual
ASHLEY D GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
83A OLD MILL CREEK RD, ENTERPRISE, MS 39330-9649
(601) 704-1020
(601) 704-1021
Mailing address
83A OLD MILL CREEK RD, ENTERPRISE, MS 39330-9649
(601) 704-1020
(601) 704-1021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876926
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09337094
—
MS
Enumeration date
03/01/2011
Last updated
05/29/2013
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