Individual
JENNIFER PATRICIA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(763) 581-5500
(763) 581-5501
Mailing address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(763) 581-5500
(763) 581-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11034
MN
363AM0700X
Medical Physician Assistant
1651
MN
Other
Enumeration date
11/18/2011
Last updated
04/20/2016
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