Dr Glennis Gray, is a
Registered Nurse based in Addis, Louisiana. Dr Glennis Gray is licensed to practice in Louisiana (license number 79078) and her current practice location is
6784 Virginia Dr, Addis, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 266-9319.
NPI number for Dr Glennis Gray is 1790665537 and her current mailing address is 6784 Virginia Dr, Addis, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790665537.
Provider's Profile
Full Name | Dr Glennis Gray |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 6784 Virginia Dr, Addis, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790665537
- Provider Enumeration Date: 09/03/2025
- Last Update Date: 09/03/2025
Medical Identifiers
Medical identifiers for Dr Glennis Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790665537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 79078 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glennis Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Glennis Gray, 6784 Virginia Dr, Addis, LA 70710-3049 Ph: (225) 266-9319 | Dr Glennis Gray, 6784 Virginia Dr, Addis, LA 70710-3049 Ph: (225) 266-9319 |
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