Individual
PATRICIA NELL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
711 W MONROE ST, GRENADA, MS 38901-5117
(662) 688-5718
Mailing address
711 W MONROE ST, GRENADA, MS 38901-5117
(662) 688-5718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904458
MS
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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