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

Jennifer Talley, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1699498055

Jennifer Talley, PMHNP is a Nurse Practitioner in Haines, Alaska. Qualified in 2023, 3 years ago. Practices with Ketamine Wellness Institute, LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
3
Licensed in
AK
In the registry since
2022
Specialties on file
2
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

28 Letnikof Rd
Haines, AK 99827-9982
Phone: (907) 314-0864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 211006 (AK)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 24512 (AK)

Record details

NPI number1699498055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 21, 2022
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ketamine Wellness Institute, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services