Individual
MISSY GRAY DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309096
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11045702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05536787
—
NY
05
—
131328800
—
FL
01
—
309096
NYS LICENSE
NY
Enumeration date
03/05/2019
Last updated
06/16/2026
Update your record
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