Individual provider · Type 1 NPI

Douglas Wray, RN

Pediatric Registered Nurse · Jackson, MS

NPI number 1609750652 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2476 E Northside Dr
Jackson, MS 39211-4924

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X910154 (MS)

Pediatric Registered Nurse: Definition to come...

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About NPI 1609750652

Douglas Wray, RN's National Provider Identifier is 1609750652, issued on Aug 4, 2025. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Jackson, MS. The record was last updated on Aug 4, 2025.