person
Jason De-leon Gray, RN
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Houma, Louisiana
NPI 1174678395

Jason De-leon Gray is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Houma, LA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Jason De-leon Gray practices in Houma, LA and has the professional credentials of RN. The NPI Number for Jason De-leon Gray is 1174678395 and holds a License No. RN120214 (Louisiana).

The current practice location address for Jason De-leon Gray is 5599 Highway 311, Houma, LA and can be reached out via phone at 985-857-3615 and via fax at 985-857-3765. You can also correspond with Jason De-leon Gray through the mailing address at 5599 HIGHWAY 311, HOUMA, LA - 70360-2866 (mailing address contact number: 985-857-3615).

Location: 5599 Highway 311, Houma, LA, 70360-2866
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Provider Profile Details
NPI Number
1174678395
Provider Name
Jason De-leon Gray
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
5599 Highway 311, Houma, LA, 70360-2866
Phone Number
985-857-3615
Fax Number
985-857-3765
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN120214 01 LA RN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
5599 Highway 311
City
State
Zip
70360-2866
Phone Number
985-857-3615
Fax Number
985-857-3765
person
Provider Business Mailing Address Details
Address
5599 Highway 311
City
State
Zip
70360-2866
Phone Number
985-857-3615
Fax Number
985-857-3765
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
RN120214 (Louisiana)
Definition
Definition to come...
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