Individual
HANNAH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 BIRCH ST, DE KALB, MS 39328-8017
(601) 743-2643
(601) 553-8175
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 553-8175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R882611
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03486259
—
MS
Enumeration date
07/14/2014
Last updated
04/17/2025
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