Provider Demographics
NPI:1265841969
Name:GRAY, JULIA NELSON (AGACNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:NELSON
Last Name:GRAY
Suffix:
Gender:F
Credentials:AGACNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5182 FALLING CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-8651
Mailing Address - Country:US
Mailing Address - Phone:256-412-5528
Mailing Address - Fax:
Practice Address - Street 1:5182 FALLING CREEK LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-8651
Practice Address - Country:US
Practice Address - Phone:256-412-5528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-128561363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care