Individual provider · Type 1 NPI

Jessica Gray

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1770293102 Active

Practice location

7700 E Parham Rd
Richmond, VA 23294-4301

Mailing address

12160 Ivakota Ct
Manassas, VA 20112-8652

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 1770293102

Jessica Gray's National Provider Identifier is 1770293102, issued on Nov 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on Nov 28, 2022.