JACQUELINE MORIAH BRAY DNP-FNP NPI 1790395051

NPI Information

NPI: 1790395051
Provider Name: JACQUELINE MORIAH BRAY, DNP-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: HOWARDCENTER, INC.

PECOS Registration: Yes

Address:
172 FAIRFIELD ST
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 488-6290
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Jacqueline Moriah Bray, DNP-FNP is a family nurse practitioner in Saint Albans, VT with 4 years of experience. Jacqueline Moriah Bray, DNP-FNP NPI is 1790395051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

172 FAIRFIELD ST
SAINT ALBANS, VT
ZIP 05478-743
Phone: (802) 488-6290

The NPI 1790395051 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	101.0134606	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101.0134606	OTHER	VERMONT	APRN CREDENTIAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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