Individual
RACHEL FONTENOT GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2013 CENTRAL RD STE B, BATON ROUGE, LA 70807-3944
(225) 774-1120
Mailing address
40440 EMMY AVE, PRAIRIEVILLE, LA 70769-5901
(225) 405-5589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP003015
LA
Other
Enumeration date
01/16/2013
Last updated
05/25/2021
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