Individual
JOANNE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
75 HOSPITAL DRIVE, SUITE 200, ATHENS, OH 45701
(740) 566-4880
(740) 566-4881
Mailing address
14121 PARKE LONG CT, CHANTILLY, VA 20151-1647
(855) 247-1940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA 09933-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA09933-NP
LICENSE
OH
Enumeration date
04/02/2008
Last updated
03/31/2017
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