Individual provider · Type 1 NPI

Casey Lynn Mattingly, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Georgetown, KY

NPI number 1114537537 Active

Practice location

105 Windsor Path Ste 5
Georgetown, KY 40324-9819

Fax (216) 456-8128

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7725

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X3015429 (KY)

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

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About NPI 1114537537

Casey Lynn Mattingly, PMHNP's National Provider Identifier is 1114537537, issued on Aug 1, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Georgetown, KY. The record was last updated on Oct 29, 2026.