Individual
TANIKA MICHELLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12183 MS HIGHWAY 182 STE 108, STARKVILLE, MS 39759-1653
(662) 268-7100
(662) 268-6080
Mailing address
PO BOX 520, MARION, MS 39342-0520
(662) 268-7100
(601) 268-6080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905999
MS
Other
Enumeration date
05/24/2023
Last updated
04/27/2026
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