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

Nicole Anjou Gray, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1457731408

Nicole Anjou Gray, APRN-CNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-6255
Fax: (614) 293-8518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.17402 (OH)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN.CNP.17402 (OH)

Record details

NPI number1457731408
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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