| Doctor Name: | MRS. JANA MARY WARDWELL GRAY |
| NPI Number: | 1770750085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 20455 |
| Business Practice Address: | 58 Main St Bucksport Family Medicine - Bhmh Bucksport, ME - 044164112 |
| Business Phone Number: | 2074693107 |
| Business Fax Number: | |
| Mailing Address: | Po Box 823, BUCKSPORT |
| State: | ME |
| Postal Code: | 044160823 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2008 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146M00000X |
| License Number: | 20455 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Intermediate |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |