LISA DARLENE GRAY - NPI 1386376390 - Licensed Practical Nurse in Heber Springs, AR

Q: What is Lisa Gray's NPI number?

The NPI number for Lisa Gray is 1386376390. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Q: What is Lisa Gray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gray was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Darlene Gray NPPES

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

LISA DARLENE GRAY (NPI 1386376390) is an individual licensed practical nurse in Heber Springs, Arkansas, licensed in Arkansas (L49989) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1386376390

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLISA DARLENE GRAY

Location Address1511 HIGHWAY 25BHeber Springs, AR 72543-1701

Mailing Address1511 Highway 25bHeber Springs, AR 72543-1701 · (501) 362-9426 · Fax (501) 362-9456

Phone(501) 362-9426

Fax(501) 362-9456

Sole ProprietorNo

Enumeration DateJune 28, 2022

NPPES CertifiedJune 28, 2022

✔ NPI 1386376390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AR · L49989

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1511 HIGHWAY 25B, Heber Springs, AR 72543

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