Individual provider · Type 1 NPI

Kelly Black, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ

NPI number 1912653536 Active

Practice location

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676

Other practice locations

  • 32205 Snyder Ln, Homeland, CA 92548-9600 · (951) 623-7194

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X56220 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X305924 (AZ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95024873 (CA)

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

31 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Mesa

See all in Mesa →

About NPI 1912653536

Kelly Black, PMHNP-BC's National Provider Identifier is 1912653536, issued on Feb 22, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Feb 6, 2025.