Individual
KATIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 GREENWAY DR, JACKSON, MS 39204-3202
(601) 983-7494
Mailing address
8302 CARRHILL PL PARRISH, FL 34219, PARRISH, FL 34219-1113
(810) 513-2114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11019332
FL
Other
Enumeration date
09/28/2022
Last updated
05/14/2025
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