Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kimberly Gray, FNP-BC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013689686

Mrs. Kimberly Gray, FNP-BC is a Student in an Organized Health Care Education/Training Program in Greenfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4111 S 108th St
Greenfield, WI 53228-1905
Phone: (262) 716-5326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11507-33 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013689686
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 28, 2021

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