Individual provider · Type 1 NPI

Jessica Lynn Bray, ANP-C

Nurse Practitioner · Coeur D Alene, ID

NPI number 1104590751 Active

Practice location

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487

Fax (208) 625-5223

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9181316 (ID)
Nurse Practitioner 363L00000X182046 (AK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104590751

Jessica Lynn Bray, ANP-C's National Provider Identifier is 1104590751, issued on Aug 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 28, 2026.