Gray, Jennifer

Gray, Jennifer is an individual health care provider with primary practice located at 9041 Executive Park Dr Ste 275B , Knoxville TN 37923-4621. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gray, Jennifer can be contacted via phone (865) 338-5384.

Contact Information

Primary practice address
9041 Executive Park Dr Ste 275B Knoxville TN 37923-4621
Phone: (865) 338-5384
Fax: (865) 338-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4801 Tennessee

Profile Details

NPI number 1952367856
LBN Legal business name Gray, Jennifer
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 1st, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952367856 NPPES
Tennessee MEDICAID Q053108

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