DOUGLAS WRAY RN NPI 1609750652

NPI Information

  • NPI: 1609750652
  • Provider Name: DOUGLAS WRAY, RN
  • Classification: Registered Nurse - 163WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 2500 N STATE ST
    JACKSON, MS
    ZIP 39216
  • Phone: (662) 312-3569

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NPI Details

Douglas Wray, RN is a pediatrics registered nurse in Jackson, MS. Douglas Wray, RN NPI is 1609750652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (662) 312-3569

The enumeration date for this NPI number is 8/4/2025 and was last updated on 8/4/2025.

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
1163WP0200XRegistered NursePediatrics910154MISSISSIPPIYes

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: 11/21/2025

NPI Synchronization or Removal

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