Individual
JAYLA BETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 HAMMILL LN, RENO, NV 89511-1004
(775) 332-0300
Mailing address
509 HAMMILL LN, RENO, NV 89511-1004
(775) 332-0300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
27546
NV
207N00000X
Dermatology Physician
A169832
CA
207N00000X
Dermatology Physician
Primary
MD18505
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14418106
CAQH NUMBER
NV
01
—
MD18505
STATE MEDICAL LICENSE
RI
Enumeration date
03/30/2015
Last updated
09/22/2025
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