Provider Demographics
NPI:1326888488
Name:GRAY, ALANA SHEA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:SHEA
Last Name:GRAY
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 INDIAN CV
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:FL
Mailing Address - Zip Code:32439-2150
Mailing Address - Country:US
Mailing Address - Phone:850-400-4049
Mailing Address - Fax:
Practice Address - Street 1:23 INDIAN CV
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:FL
Practice Address - Zip Code:32439-2150
Practice Address - Country:US
Practice Address - Phone:850-736-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11033014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily