Individual
NICOLE ANJOU GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-6255
(614) 293-8518
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-6255
(614) 293-8518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.17402
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.17402
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.17402
OH
Other
Enumeration date
06/04/2015
Last updated
04/17/2026
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