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

Tracey Grayer, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1336868371

Tracey Grayer, NURSEPRACTITIONER is a Gerontology Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022

Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
Fax: (601) 364-5159
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 905260 (MS)

Record details

NPI number1336868371
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022
Mailing addressPo Box 545, Madison, MS 39130-0545

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