Individual provider · Type 1 NPI
Eleasha R. Gray, C-FNP
Family Nurse Practitioner · Stockbridge, GA
NPI number
1023264876
Active
Practice location
165 North Park Trail
Stockbridge, GA 30281-5086
Fax (770) 389-5947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN121625 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1023264876
Eleasha R. Gray, C-FNP's National Provider Identifier is 1023264876, issued on Aug 12, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockbridge, GA. The record was last updated on Jul 6, 2012.