Gray, Traci Taylor
Gray, Traci Taylor is an individual health care provider with primary practice located at 2200 N Bolton Ave , Alexandria LA 71303-4407. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gray, Traci Taylor can be contacted via phone (318) 639-1311.Contact Information
Primary practice address
2200 N Bolton Ave
Alexandria LA 71303-4407
Phone: (318) 639-1311
Fax: (318) 693-1313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 206362 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 206362 | Louisiana |
Profile Details
| NPI number | 1831759547 |
|---|---|
| LBN Legal business name | Gray, Traci Taylor |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2019 |
| Last updated | Feb 7th, 2023 - about 3 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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