Dr. Jacqueline J Gray, MD
Pediatrics in Bossier City, LA. Individual provider (NPI-1).
NPI number1346354297
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1346354297
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacqueline J Gray
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35075835 | OH | Yes |
| 208000000X | Pediatrics | 301878 | LA |
Practice location
2300 Hospital Dr Ste 420Bossier City, LA 71111-2166
Phone 318-212-7880
Mailing address
243 Curtiss Rd Ste 100Barksdale Afb, LA 71110-2425
Phone 318-456-6555
Other practice locations
331 N Breiel Blvd
Middletown, OH 45042
Middletown, OH 45042
Phone 513-424-1856 · Fax 513-424-1850
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