Healthcare Provider Details

I. General information

NPI: 1184249856
Provider Name (Legal Business Name): DARA LOUISE GRAY ENGLISH DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W ARLINGTON BLVD
GREENVILLE NC
27834-5704
US

IV. Provider business mailing address

2465 EMERALD PL
GREENVILLE NC
27834-5785
US

V. Phone/Fax

Practice location:
  • Phone: 252-413-6643
  • Fax: 252-413-6603
Mailing address:
  • Phone: 252-758-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5014527
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: