Individual
DEBORAH ELLIS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2000 STEIN DR, CHATTANOOGA, TN 37421-7217
(423) 648-8480
(423) 648-8481
Mailing address
P.O. BOX 24387, CHATTANOOGA, TN 37422
(423) 648-8480
(423) 648-8481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000005515
TN
363L00000X
Nurse Practitioner
RN10078 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908314
—
TN
01
—
4132006
BCBSTN
TN
Enumeration date
06/15/2006
Last updated
03/23/2016
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