Individual provider · Type 1 NPI

Jacqueline Gray, MSN, APRN, NP-C

Family Nurse Practitioner · Louisville, KY

NPI number 1457808545 Active

Practice location

6420 Dutchmans Pkwy Ste 200
Louisville, KY 40205-3373

Fax (502) 891-8338

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3010346 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1457808545

Jacqueline Gray, MSN, APRN, NP-C's National Provider Identifier is 1457808545, issued on Sep 6, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Apr 6, 2021.