Individual
MR. JASON NEAL MCCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-3111
Mailing address
112 VICTOR DR, BRISTOL, TN 37620-4739
(423) 797-1386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22868
TN
363LF0000X
Family Nurse Practitioner
0024174973
VA
363LF0000X
Family Nurse Practitioner
22868
TN
Other
Enumeration date
07/05/2017
Last updated
07/21/2021
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