Individual provider · NPI-1

Jeanne Marie Gray, CNP

Nurse Practitioner, Obstetrics & Gynecology · Southgate, MI

NPI number1679629604
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679629604
Entity type
Individual (NPI-1)
Name
Ms. Jeanne Marie Gray
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 25, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & Gynecology4704086395MIYes

Practice location

15675 Northline Rd
Southgate, MI 48195-2334

Phone 734-282-3600

Mailing address

22786 Fawn Rd
Brownstown Twp, MI 48183-1154

Phone 734-479-2890

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Obstetrics & Gynecology providers in Southgate, MI