Individual
MS. PATRICIA THERESA GRAY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN167539
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN167539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015829263A
—
GA
Enumeration date
10/12/2006
Last updated
05/23/2014
Update your record
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