Nicole K Gray, PA
Physician Assistant in Brentwood, TN. Individual provider (NPI-1).
NPI number1124385752
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1124385752
- Entity type
- Individual (NPI-1)
- Name
- Nicole K Gray
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2012
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA2161 | TN | Yes |
Practice location
5410 Maryland Way Ste 4005410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone 855-212-2273 · Fax 629-240-6003
Mailing address
5410 Maryland Way Ste 400Brentwood, TN 37027-8087
Phone 855-212-2273
Other practice locations
2333 McCallie Ave
Chattanooga, TN 37404-3258
Chattanooga, TN 37404-3258
Phone 423-698-6061
601 Dodds Ave
Chattanooga, TN 37404-3911
Chattanooga, TN 37404-3911
Phone 423-453-8999 · Fax 866-401-5838
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