Organization
TRACI GRAY, NURSE PRACTITIONER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI GRAY APRN (PWNER)
(318) 481-5724
Entity
Organization
Contact information
Practice address
307 CARPENTER ST, JENA, LA 71342-7143
(318) 452-8650
(318) 992-8473
Mailing address
9663 HIGHWAY 84 E, JENA, LA 71342-5435
(318) 316-2722
(318) 257-1468
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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