Individual
JENNIFER GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 MAIN ST STE 317, SOUTH WEYMOUTH, MA 02190-1889
(781) 331-7866
Mailing address
541 MAIN ST STE 317, SOUTH WEYMOUTH, MA 02190-1889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2295469
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2295469
MA
Other
Enumeration date
08/15/2014
Last updated
12/02/2015
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