Individual
MARISSA M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP PMHNP
Contact information
Practice address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
(901) 651-5929
Mailing address
11530 SPRING MANOR LN, EADS, TN 38028-7987
(901) 651-5929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
210094
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
230091
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
32604
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
907923
MS
Other
Enumeration date
08/11/2022
Last updated
12/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us