Jennifer Andro Gray, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP1505 Issued in AZ

Practice address

2400 S Avenue a
Yuma, AZ 85364-7127

Phone

(928) 336-7505

Fax

(928) 336-7508

NPI assigned

Jul 10, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1265466635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660969",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660969",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-336-7505",
            "fax_number": "928-336-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JENNIFER",
        "middle_name": "ANDRO",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN117606",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Graciano, SURGICAL ASSISTANT
• Mitzi S Gragson, NP
• Amanda Graham, PA-C
• Timothy P. Graham, M.D.
• Grand Canyon Medical Clinic PLLC
• Tracy Renee Gray, REGISTERED NURSE
• Gregory L Peare, M.D., P.C.
• Allison Griffin, LAT, ATC
• Thomas John Grijalva, MSN-FNP
• Vallory Grosch, RBT

• Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.