Individual
JESSICA C RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
10722 EDDINGS DR, APT 204, CHARLOTTE, NC 28270-1269
(540) 520-1762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221949
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054032
—
NC
05
—
NAN021
—
SC
Enumeration date
11/29/2010
Last updated
03/19/2012
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