DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACQUIS LESHAY GRAY PA-C

MEDICARE: JACQUIS LESHAY GRAY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601008149MI

General Provider Information

NPI Number : 1457883274
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUIS LESHAY GRAY PA-C
Provider Business Mailing Address
First Line : 18000 W 9 MILE RD STE 200
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-4020
Country : US
Telephone Number : 248-336-4000
Fax Number : 248-336-9137
Provider Business Practice Location Address
First Line : 911 E 9 MILE RD
Second Line :
City : FERNDALE
State : MI
Zip : 48220-1934
Country : US
Telephone Number : 248-336-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2017
Last Update Date : 12/16/2025

Similar Medicare Providers

1134610207 — DEENA CHABAAN PA-C
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax: 248-336-9137
1669284246 — MCKENNA KATHERINE EBERT DPT
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax:
1295132926 — MR. CHRISTOPHER MICHAEL GADOUA PA-C
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax:
1780111575 — MS. AMBER SARAH KALABAT FNP-BC
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax:
1548076268 — MS. ANNALIESE GRACE KHEMMORO
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax: 248-336-9137
1659942357 — JESSICA LYNNE SADLER PA-C
Practice Location Address:
911 E 9 MILE RD
FERNDALE, MI
48220-1934
Practice Phone: 248-336-4000
Practice Fax: 248-581-8839

Directions to “ JACQUIS LESHAY GRAY PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.