Jacqueline Rebecca Gray, RN
Registered Nurse in Spokane, WA. Individual provider (NPI-1).
NPI number1669948543
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1669948543
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Rebecca Gray
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2018
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN60502206 | WA | Yes |
Practice location
505 E North Foothills DrSpokane, WA 99207-2101
Phone 509-838-4651
Mailing address
107 S Division StSpokane, WA 99202-1510
Phone 509-838-4651
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