Individual
JACQUELINE MORIAH BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
172 FAIRFIELD ST, SAINT ALBANS, VT 05478-1743
(802) 488-6290
Mailing address
208 FLYNN AVE STE 3J, BURLINGTON, VT 05401-5420
(802) 488-6934
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134606
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101.0134606
APRN CREDENTIAL
VT
Enumeration date
08/03/2020
Last updated
08/17/2020
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