Provider Demographics
NPI:1801343058
Name:GRAY, ALLISON (RD, RDN, MS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:GRAY
Suffix:
Gender:
Credentials:RD, RDN, MS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:WEATHERSBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1320 ROBERTS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32250-3253
Mailing Address - Country:US
Mailing Address - Phone:904-627-1376
Mailing Address - Fax:682-885-7347
Practice Address - Street 1:1320 ROBERTS DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-3253
Practice Address - Country:US
Practice Address - Phone:904-627-1376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered