Gray, Jacqueline J

Gray, Jacqueline J is an individual health care provider with primary practice located at 2300 Hospital Dr Ste 420 , Bossier City LA 71111-2166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gray, Jacqueline J can be contacted via phone (318) 212-7880.

Contact Information

Primary practice address
2300 Hospital Dr Ste 420 Bossier City LA 71111-2166
Phone: (318) 212-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35075835 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 301878 Louisiana

Profile Details

NPI number 1346354297
LBN Legal business name Gray, Jacqueline J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346354297 NPPES
Ohio MEDICAID 2489258

Popular Providers