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Jody Gray
Family Nurse Practitioner in Yakima, Washington
NPI 1538462197

Jody Gray is a Family Nurse Practitioner based in Sunnyside, WA and is specialized in Family. Jody Gray practices in Yakima, WA. The NPI Number for Jody Gray is 1538462197 and holds a License No. AP60202580 (Washington).

The current practice location address for Jody Gray is 12 S 8Th St, Yakima, WA and can be reached out via phone at 509-454-4143 and via fax at 509-454-3651.

Location: 12 S 8Th St, Yakima, WA, 98944-0719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538462197
Provider Name
Jody Gray
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 S 8Th St, Yakima, WA, 98944-0719
Phone Number
509-454-4143
Fax Number
509-454-3651
Provider Enumeration Date
12/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8899381 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
12 S 8Th St
City
Yakima
State
Washington
Zip
98901-3020
Phone Number
509-454-4143
Fax Number
509-454-3651
person
Provider Business Mailing Address Details
Address
12 S 8Th St
City
Yakima
State
Washington
Zip
98901-3020
Phone Number
509-454-4143
Fax Number
509-454-3651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60202580 (Washington)
Definition
Definition to come...
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