Taryn Lyn Gray, APRN
Nurse Practitioner, Family in Bourbonnais, IL. Individual provider (NPI-1).
NPI number1699400366
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1699400366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Taryn Lyn Gray
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.025440 | IL | Yes |
Practice location
482 Main St NwBourbonnais, IL 60914-2331
Phone 815-939-4141
Mailing address
482 Main St NwBourbonnais, IL 60914-2331
Phone 815-939-4141
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All 39 Family Nurse Practitioner providers in Bourbonnais · All 800 providers in Bourbonnais
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