Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Wray, RN

Individual provider Pediatric Registered Nurse · NPI 1609750652

Douglas Wray, RN is a Pediatric Registered Nurse in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (662) 312-3569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X · Licence 910154 (MS)

Record details

NPI number1609750652
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 3, 2025
Mailing address2476 E Northside Dr, Jackson, MS 39211-4924

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