Mrs Nicole Gray, | |
3103 Holiday Dr, White Hall, AR 71602-9559 | |
(870) 413-9528 | |
(870) 541-6434 |
Full Name | Mrs Nicole Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 3103 Holiday Dr, White Hall, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790349462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A006211 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Arkansas Emergency Physicians Llp | 6204146319 | 16 |
Entity Name | Southeast Arkansas Emergency Physicians Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Gray, 3103 Holiday Dr, White Hall, AR 71602-9559 Ph: (870) 413-9528 | Mrs Nicole Gray, 3103 Holiday Dr, White Hall, AR 71602-9559 Ph: (870) 413-9528 |
Raluca Tudoreanu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Frankie Ln, White Hall, AR 71602 Phone: 870-247-6105 | |
Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, White Hall, AR 71602 Phone: 870-619-4451 | |
Estee Sneed, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 W Holland Ave, Suite 202, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056 | |
Jamie Aud, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056 | |
Karla Young, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Sheridan Rd, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056 | |
Theresa Ann Lybrand, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Frankie Ln, White Hall, AR 71602 Phone: 870-247-6160 | |
Lesia Pratt, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 Mae Dr, White Hall, AR 71602 Phone: 870-209-9589 |