Individual provider · Type 1 NPI
Amy Jo Goller, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Manchester, NH
NPI number
1548048010
Active
Practice location
2 Wall St
Manchester, NH 03101-1518
Mailing address
2 Wall St Ste 200
Manchester, NH 03101-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 09305223 (NH) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11027279 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1548048010
Amy Jo Goller, PMHNP-BC's National Provider Identifier is 1548048010, issued on Sep 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manchester, NH. The record was last updated on Dec 10, 2025.