Individual provider · Type 1 NPI

Jackie Grayson, MD

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

NPI number 1699803239 Active

Practice location

1301 Primacy Pkwy
Memphis, TN 38119-0213

Call (901) 448-0275 Map

Fax (901) 448-0404

Mailing address

16 Brentshire Sq
Jackson, TN 38305-2203

Specialties and licenses

TaxonomyCodeLicense
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 1699803239

Jackie Grayson, MD's National Provider Identifier is 1699803239, issued on Mar 2, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.