Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jechell Lary-Waller, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295548378

Jechell Lary-Waller, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Gray, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

452 Graham Woods Cir
Gray, GA 31032-4914
Phone: (478) 390-3836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4539 N 22nd St Ste R, Phoenix, AZ 85016-4639 — (478) 390-3836

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN15699 (GA)

Record details

NPI number1295548378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address452 Graham Woods Cir, Gray, GA 31032-4914

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