Provider Demographics
NPI:1376368621
Name:RAY, CHRISTY JOY (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:JOY
Last Name:RAY
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:415 CHRISMAN OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-7016
Mailing Address - Country:US
Mailing Address - Phone:859-699-3865
Mailing Address - Fax:
Practice Address - Street 1:1165 CENTRE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3267
Practice Address - Country:US
Practice Address - Phone:859-303-4657
Practice Address - Fax:859-938-5022
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY4028464363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health