Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Myisha Gaddy, LPN-RETIRED

Individual provider Licensed Practical Nurse · NPI 1023776556

Mrs. Myisha Gaddy, LPN-RETIRED is a Licensed Practical Nurse in Rex, Georgia. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

6459 Highway 42
Rex, GA 30273-1718
Phone: (678) 973-5257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 83495 (NC)

Record details

NPI number1023776556
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN-RETIRED
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

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