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Individual

TIFFANI N GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0014
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000

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
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