Individual provider · Type 1 NPI

Destiny A. Russell Gray, APRN

Psychiatric/Mental Health Nurse Practitioner · Richmond, VA

NPI number 1740929272 Active

Practice location

1200 E Broad St
Richmond, VA 23298-5025

Mailing address

1250 E Marshall St
Richmond, VA 23298-5023

Other practice locations

  • 1003 Bishop St Ste 2700, Honolulu, HI 96813-6475 · (417) 735-5804
  • 1308 Sherwood Ave, Richmond, VA 23220-1210 · (804) 828-3129
  • 2924 Brook Rd Ste 1, Richmond, VA 23220-1215 · (804) 628-9346

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024189353 (VA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XGAA-NP000748 (GA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN-4042 (HI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1740929272

Destiny A. Russell Gray, APRN's National Provider Identifier is 1740929272, issued on Jun 2, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on Feb 19, 2026.