RICHARD BROWN RAY JR.


Address: 3413 Washington Ave, Gulfport, MS 39507-3039
Phone: 2282067780

RICHARD BROWN RAY JR. (NPI# 1306147947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306147947
Entity Type Individual
Full Name RICHARD BROWN RAY JR.
Credential PMHNP-BC
Practice Address 3413 Washington Ave
Gulfport
MS 39507-3039
Practice Telephone 2282067780
Practice Fax Number 2282067803
Mailing Telephone 2282067803
Mailing Fax Number 2282067803
Enumeration Date 2010-11-13
Last Update Date 2019-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R865840 MS Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 3413 WASHINGTON AVE
City GULFPORT
State MS
Zip Code 39507-3039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992253082 Richard Lee Walden Registered Nurse 3413 Washington Ave, Ste. A, Gulfport, MS 39507-3039 2016-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1538605027 Andrea Broussard Personal Emergency Response Attendant 406 Pass Rd, Gulfport, MS 39507 2017-01-09
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1386193183 Joannie Evans Nurse Practitioner 368 Courthouse Rd, Suite D, Gulfport, MS 39507-1856 2016-09-22
1639220205 Maureen Stanton Nurse Practitioner 33 39th Street, Gulfport, MS 39507 2007-01-12
1679581052 Eileen A Powell Nurse Practitioner 15120 County Barn Rd, Gulf Coast Mental Health Center Csu Unit, Gulfport, MS 39503-1263 2006-08-03
1437784550 Chantal Sullivan Aprn-bc Pllc Nurse Practitioner 8990 Lorraine Rd, Gulfport, MS 39503-4176 2020-03-09
1740811280 Chantal Sullivan Nurse Practitioner 8990 Lorraine Rd, Gulfport, MS 39503-4176 2020-02-03
1336780527 Mary Elizabeth Paul Nurse Practitioner 11150 Highway 49, Gulfport, MS 39503-4110 2019-09-30
1457829202 Art Behavioral Health, Pllc Nurse Practitioner 1403 43rd Ave, Gulfport, MS 39501-2545 2018-11-09
1992270995 Julie K Martin, Pmhnp-bc, LLC Nurse Practitioner 1403 43rd Ave, Gulfport, MS 39501-2545 2018-10-05
1033602834 Jena Leanna Pierce Nurse Practitioner 1613 23rd Ave, Gulfport, MS 39501 2018-06-07
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Competitor

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City GULFPORT
Zip Code 39507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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