Provider Demographics
NPI:1164257481
Name:GRAY-HAMILTON, FELICIA ANN (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:ANN
Last Name:GRAY-HAMILTON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 E SWEETWATER RD
Mailing Address - Street 2:
Mailing Address - City:BYHALIA
Mailing Address - State:MS
Mailing Address - Zip Code:38611-7844
Mailing Address - Country:US
Mailing Address - Phone:901-827-2491
Mailing Address - Fax:
Practice Address - Street 1:2028 W POPLAR AVE STE 115
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-0618
Practice Address - Country:US
Practice Address - Phone:901-221-8983
Practice Address - Fax:855-447-4644
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily