Whalio Doctors

NPI 1174678395

Jason De-Leon Gray, RN

Practitioner Child & Adolescent Psychiatric/Mental Health Registered Nurse Houma, LA

Practice location

Address
5599 Highway 311, Houma, LA 70360-2866
Phone
(985) 857-3615
Fax
(985) 857-3765

Registered specialties

Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0807X Licence RN120214 (LA)

Registry record

NPI
1174678395
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jan 2007
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.