Individual
MS. JACQUELYN LUREYE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
731 E DESHLER AVE, COLUMBUS, OH 43206-2925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-157559
AZ
163W00000X
Registered Nurse
RN-349216
OH
163W00000X
Registered Nurse
RN-95046100
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN-157559
AZ
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN-349216
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN-95046100
CA
163WG0000X
General Practice Registered Nurse
RN-157559
AZ
163WG0000X
General Practice Registered Nurse
RN-349216
OH
163WG0000X
General Practice Registered Nurse
RN-95046100
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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