IndividualActive
Shannon Gray, RN
NPI 1699409771 · Administrator Registered Nurse · Suffolk, VA
Provider details
- NPI number
- 1699409771
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 0001294835 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
819 Walnut Park Dr
Suffolk, VA 23434-4159
Phone: (757) 725-1018
Approximate (ZIP-level) locationGet directions
Mailing address
819 Walnut Park Dr
Suffolk, VA 23434-4159
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-11-11
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.