Active NPIIndividual providerSole proprietor

Jacqueline B Gray

Nurse Practitioner, Psych/Mental Health in Riviera Beach, Florida

NPI Number1700672177
Practice location
45 Bandol St, Riviera Beach, FL 33404-2078
Fax
—
Last updated
January 9, 2026

Jacqueline Brown Gray is a Nurse Practitioner, Psych/Mental Health based in Riviera Beach, FL. Jacqueline Brown Gray practices in Riviera Beach, FL. The NPI Number for Jacqueline Brown Gray is 1700672177 and holds a License No. APRN04839 (RI). The current practice location address for Jacqueline Brown Gray is 45 Bandol St, Riviera Beach, FL 33404-2078 and can be reached out via phone at 678-600-0900.

Provider Profile Details

NPI Number
1700672177
Provider Name
Jacqueline Brown Gray
Provider Entity Type
Individual
Gender
Female
Address
45 Bandol St, Riviera Beach, FL 33404-2078
Phone Number
678-600-0900
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 15, 2025
Last Update Date
January 9, 2026
Certification Date
January 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Bandol St
Riviera Beach, FL 33404-2078
State
Florida
Zip
33404-2078
Phone Number
678-600-0900
Riviera Beach, FL 33404Get directions →

Provider Business Mailing Address Details

Address
45 Bandol St
Riviera Beach, FL 33404-2078
City
Riviera Beach
State
FL
Zip
33404-2078

License Information

License Number (1)
APRN04839
License State (1)
RI
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
APRN11037961
License State (2)
FL
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline B Gray?

The NPI number of Jacqueline B Gray is 1700672177. It was assigned on April 15, 2025 and is currently active in the NPPES registry.

What is the specialty of Jacqueline B Gray?

Jacqueline B Gray is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number APRN04839.

Where does Jacqueline B Gray practice?

The practice location is 45 Bandol St, Riviera Beach, FL 33404-2078. The office can be reached at 678-600-0900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700672177 directly on the NPPES registry website.

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