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

Mrs. Nicole Gray

Individual provider Family Nurse Practitioner · NPI 1790349462

Mrs. Nicole Gray is a Nurse Practitioner in White Hall, Arkansas. Qualified in 2009, 17 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
17
Licensed in
AR
In the registry since
2019

Practice location Address checks out

3103 Holiday Dr
White Hall, AR 71602-9559
Phone: (870) 413-9528
Fax: (870) 541-6434
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A006211 (AR)

Record details

NPI number1790349462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2019
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address4201 S Mulberry St, Pine Bluff, AR 71603-7016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in White Hall