Individual
MRS. JODY A GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1729 27TH ST, PORTSMOUTH, OH 45662-2638
(740) 354-1434
(740) 353-8811
Mailing address
5025 BLUE CREEK RD, STOUT, OH 45684-9627
(934) 544-9391
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP03617
OH
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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