Individual provider · Type 1 NPI

Mary Keller, PMHNP-BC, RN

Psychiatric/Mental Health Nurse Practitioner · Clayton, GA

NPI number 1427782861 Active

Practice location

24 Chechero St Ste 2
Clayton, GA 30525-6181

Fax (706) 973-4087

Mailing address

12244 Augusta Rd Unit 108
Lavonia, GA 30553-1210

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5019419 (NC)
Adult Psychiatric/Mental Health Registered Nurse 163WP0809XRN311520 (GA)

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

2 other providers at this address

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About NPI 1427782861

Mary Keller, PMHNP-BC, RN's National Provider Identifier is 1427782861, issued on Jul 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clayton, GA. The record was last updated on Jan 21, 2026.