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STACY GRAY RN
NPI 1114304862
Registered Nurse - Psychiatric/Mental Health in Pine Bluff, AR

Active since May 01, 2015
620 S LAUREL ST, PINE BLUFF, AR 71601(870) 534-4900(870) 534-4906 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Gray Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY GRAY RN (NPI 1114304862) is an individual psychiatric/mental health provider in Pine Bluff, Arkansas, licensed in Arkansas (R093057) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1114304862
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameSTACY GRAYCredential: RN
Location Address620 S LAUREL STPine Bluff, AR 71601-4859
Mailing Address620 S Laurel StPine Bluff, AR 71601-4859 · (870) 534-4900 · Fax (870) 534-4906
Phone(870) 534-4900
Fax(870) 534-4906
Sole ProprietorNo
Enumeration DateMay 1, 2015
✔ NPI 1114304862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in AR · R093057
620 S LAUREL ST, Pine Bluff, AR 71601
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Other Identifiers 1

Medicaid180635526AR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATASHA BRIGGS
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
WILLIE WHITE JR.
Counselor (Mental Health)
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
YOLANDA WILLIAMS
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
CYNTHIA HENDERSON
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-5400
LARRY MOONEY
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
KWAEISI GOLLIDAY
Counselor (Mental Health)
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
STEPHEN CHRISTIAN
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900
MALLORY DONALDSON
Case Manager/Care Coordinator
620 S LAUREL ST
PINE BLUFF, AR 71601
Jefferson County (870) 534-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Gray's NPI number?

The NPI number for Stacy Gray is 1114304862. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Stacy Gray located?

Stacy Gray practices at 620 S Laurel St, Pine Bluff, AR 71601. The listed phone number is (870) 534-4900.

What is Stacy Gray's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Stacy Gray was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.