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

Ebonie Gray, RN, APNP, FNP-BC

Individual provider Registered Nurse · NPI 1982840757

Ebonie Gray, RN, APNP, FNP-BC is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Minuteclinic Diagnostic of Wisconsin LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3710 57th Ave
Kenosha, WI 53144-4820
Phone: (262) 652-1474
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 N 100th St, Milwaukee, WI 53222-2432 — (414) 567-8706

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4309-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 137516-030 (WI)

Record details

NPI number1982840757
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , APNP , FNP-BC
Sole proprietorNo
NPI enumeratedDecember 30, 2008
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Minuteclinic Diagnostic Of Wisconsin Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha