Provider Demographics
NPI:1881924884
Name:SEWELL, JOSIE MCGRAY (MSN, RN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:MCGRAY
Last Name:SEWELL
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:MISS
Other - First Name:JOSIE
Other - Middle Name:LOUISE
Other - Last Name:MCGRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 INWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390
Mailing Address - Country:US
Mailing Address - Phone:512-636-4686
Mailing Address - Fax:214-648-7084
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7201
Practice Address - Country:US
Practice Address - Phone:214-648-4190
Practice Address - Fax:214-648-7084
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX778695363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily