Individual provider · Type 1 NPI

Kellie M. Ross, MSN, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · North Myrtle Beach, SC

NPI number 1679377014 Active

Practice location

1016 2nd Ave N Ste 205
North Myrtle Beach, SC 29582-3288

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X30085 (SC)

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

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About NPI 1679377014

Kellie M. Ross, MSN, APRN, PMHNP-BC's National Provider Identifier is 1679377014, issued on Apr 3, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Feb 25, 2026.