Individual
SARAH ELLEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, DNP
Contact information
Practice address
109B N TARVER AVE, LEBANON, TN 37087-2633
(615) 509-4103
Mailing address
109B N TARVER AVE, LEBANON, TN 37087-2633
(615) 509-4103
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
242929
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14058205
TN
Other
Enumeration date
07/13/2023
Last updated
02/11/2025
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