JACKIE GRAYSON MD
NPI 1699803239
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since March 02, 2007
1301 PRIMACY PKWY, MEMPHIS, TN 38119(901) 448-0275(901) 448-0404 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Grayson Md NPPES

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

JACKIE GRAYSON MD (NPI 1699803239) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1699803239
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE GRAYSONCredential: MD
Location Address1301 PRIMACY PKWYMemphis, TN 38119-0213
Mailing Address16 Brentshire SqJackson, TN 38305-2203 · (731) 664-0994 · Fax (731) 664-0866
Fax(901) 448-0404
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699803239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 PRIMACY PKWY, Memphis, TN 38119

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.

Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Student in an Organized Health Care Education/Training Program
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Nurse Practitioner (Family)
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Pharmacist
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Pharmacist (Ambulatory Care)
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine (Hospice and Palliative Medicine)
1301 PRIMACY PKWY
MEMPHIS, TN 38119

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 Jackie Grayson's NPI number?

The NPI number for Jackie Grayson is 1699803239. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Jackie Grayson located?

Jackie Grayson practices at 1301 Primacy Pkwy, Memphis, TN 38119. The listed phone number is (901) 448-0275.

What is Jackie Grayson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Grayson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.