Individual
MILINDA KAY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Mailing address
4418 HIGHWAY 35 S, FOREST, MS 39074-7009
(601) 507-1249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
873482
MS BOARD OF NURSING
MS
Enumeration date
05/16/2019
Last updated
05/22/2024
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