Individual
SANDRA LEE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6030
(479) 314-2021
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-6030
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24708155
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
01/15/2026
Last updated
05/11/2026
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