Laura Bray, RN

Key facts

NPI

1295059558

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

RN184056 (GA)

Practice address

383 General Jackson Dr
Jefferson, GA 30549-2909

Phone

(706) 542-9700

Fax

(706) 227-7249

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 16, 2010.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1295059558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTH AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012244",
            "telephone_number": "706-542-9700",
            "fax_number": "706-227-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 GENERAL JACKSON DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492909",
            "telephone_number": "706-542-9700",
            "fax_number": "706-227-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "LAURA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN184056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

• Susan Marie Bell, RD, LD, CLC
• Luis Eduardo Berbessi, D.C.
• Kimesh Bhana
• Blue Ink Medical LLC
• Tammy Bogan
• Khanh Van Brown, PHARMD
• Ralyn Daniels Bullock
• Sharla Burrell-Stroud
• Hope Victoria Bussenius, R.N, M.N, F.N.P-C
• Lindsey Bustamante, LMSW

All providers in Jefferson, GA · Registered Nurse in Georgia