| Doctor Name: | BALI JEANNE WRAY |
| NPI Number: | 1225396807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP794092 |
| Business Practice Address: | 515 Wekiva Commons Cir Apopka, FL - 327123645 |
| Business Phone Number: | 4074649516 |
| Business Fax Number: | 4074649519 |
| Mailing Address: | 515 Wekiva Commons Cir, APOPKA |
| State: | FL |
| Postal Code: | 327123645 |
| Phone Number: | 4074649516 |
| Fax Number: | 4074649519 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP794092 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |