Individual
DERRICK ALLEN GREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 773-3985
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.019770
OH
Other
Enumeration date
06/27/2016
Last updated
11/05/2019
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