Gray, Jennifer Andro

Gray, Jennifer Andro is an sole proprietor health care provider with primary practice located at 2400 S Avenue A , Yuma AZ 85364-7127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gray, Jennifer Andro can be contacted via phone (928) 336-7505.

Contact Information

Primary practice address
2400 S Avenue A Yuma AZ 85364-7127
Phone: (928) 336-7505
Fax: (928) 336-7508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP1505 Arizona

Profile Details

NPI number 1265466635
LBN Legal business name Gray, Jennifer Andro
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jun 23rd, 2008 - about 16 years 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 1265466635 NPPES
Arizona MEDICAID RN117606

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