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Individual

JESSICA C RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
10722 EDDINGS DR APT 204, CHARLOTTE, NC 28270-1271
(540) 520-1762

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221949
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024170003
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8054032
NC
05
NAN021
SC
Enumeration date
11/29/2010
Last updated
06/24/2026
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