Individual provider · Type 1 NPI

Tiffany Shannon Ray, CRNA

Certified Registered Nurse Anesthetist · Horn Lake, MS

NPI number 1114097615 Active

Practice location

6410 Walnut Grove Rd
Horn Lake, MS 38637-2023

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice locations

  • 1208 Office Park Dr, Oxford, MS 38655-3597 · (662) 234-9888
  • 7900 Airways Blvd Ste 101, Southaven, MS 38671-4113 · (662) 349-6950
  • 1208 Office Park Dr, Oxford, MS 38655-3597 · (662) 234-9888
  • 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 · (901) 747-3630

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X15099 (TN)
Certified Registered Nurse Anesthetist Primary 367500000X864509 (MS)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

About NPI 1114097615

Tiffany Shannon Ray, CRNA's National Provider Identifier is 1114097615, issued on Nov 9, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Horn Lake, MS. The record was last updated on Feb 16, 2026.