Individual
JORDYN S GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
1423 N BROADWAY, BALTIMORE, MD 21213-3029
(717) 712-8337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R242924
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R242924
MD
Other
Enumeration date
01/16/2023
Last updated
06/12/2023
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