Individual
TIFFANI N GRAY
Active
Individual
TIFFANI N GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0000026271
TN
363LA2100X
Acute Care Nurse Practitioner
730299
TX
363LF0000X
Family Nurse Practitioner
730299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164756169
BLUE CROSS BLUE SHIELD
TX
05
—
208824702
—
TX
05
—
208824703
—
TX
05
—
208824704
—
TX
05
—
208824705
—
TX
01
—
855N32
BCBS
TX
01
—
8700NH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/23/2009
Last updated
03/31/2022
Update your record
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