Individual
ASHLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 435-9060
(615) 235-9725
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 435-9060
(615) 235-9725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006347A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001027156
ANTHEM PROVIDER NUMBER
IN
05
—
201372910
—
IN
Enumeration date
02/03/2016
Last updated
09/25/2024
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