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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 910154 (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.