Individual provider · Type 1 NPI

Riley Renay Gray

Student in an Organized Health Care Education/Training Program · Jackson, TN

NPI number 1417593872 Active

Practice location

1050 Union University Dr
Jackson, TN 38305-3656

Call (731) 661-6591 Map

Fax (731) 661-5182

Mailing address

1050 Union University Dr # UU2185
Jackson, TN 38305-3656

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417593872

Riley Renay Gray's National Provider Identifier is 1417593872, issued on Nov 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, TN. The record was last updated on Nov 20, 2019.