Individual provider · Type 1 NPI

Nicole Gray

Family Nurse Practitioner · White Hall, AR

NPI number 1790349462 Active

Practice location

3103 Holiday Dr
White Hall, AR 71602-9559

Call (870) 413-9528 Map

Fax (870) 541-6434

Mailing address

4201 S Mulberry St
Pine Bluff, AR 71603-7016

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XA006211 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1790349462

Nicole Gray's National Provider Identifier is 1790349462, issued on Apr 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in White Hall, AR. The record was last updated on Jan 21, 2025.