Individual provider · Type 1 NPI

Tracey Grayer, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Jackson, MS

NPI number 1336868371 Active

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Fax (601) 364-5159

Mailing address

PO Box 545
Madison, MS 39130-0545

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X905260 (MS)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1336868371

Tracey Grayer, NURSE PRACTITIONER's National Provider Identifier is 1336868371, issued on Aug 23, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jackson, MS. The record was last updated on Aug 23, 2022.