Individual provider · Type 1 NPI

Jessica W. Gray

Licensed Practical Nurse · Charleston, WV

NPI number 1932071511 Active

Practice location

900 Virginia St E Ste 400
Charleston, WV 25301-2835

Call (681) 313-4759 Map

Fax (844) 800-3954

Mailing address

288 Moffit Rd
Dilliner, PA 15327-2614

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X41726 (WV)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1932071511

Jessica W. Gray's National Provider Identifier is 1932071511, issued on Sep 22, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Charleston, WV. The record was last updated on Sep 22, 2025.