IndividualActive
Douglas Wray, RN
NPI 1609750652 · Pediatric Registered Nurse · Jackson, MS
Provider details
- NPI number
- 1609750652
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 910154 (MS)
Mailing address
2476 E Northside Dr
Jackson, MS 39211-4924
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.