Healthcare Provider Details

I. General information

NPI: 1245686450
Provider Name (Legal Business Name): GABRIELLE ELIZABETH GRAY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HIGHLAND ST DARTMOUTH HITCHCOCK-PEDIATRICS
PLYMOUTH NH
03264-1233
US

IV. Provider business mailing address

16 HOSPITAL RD
PLYMOUTH NH
03264-1126
US

V. Phone/Fax

Practice location:
  • Phone: 603-536-3700
  • Fax: 603-536-5384
Mailing address:
  • Phone: 603-536-1120
  • Fax: 603-536-5384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number062978-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number062978-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: