Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Jo Anne Kelly, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558803809

Mary Jo Anne Kelly, PMHNP-BC is a Nurse Practitioner in Mount Laurel, New Jersey. Qualified in 2016, 10 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149
Phone: (856) 482-9000
Fax: (856) 482-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00669700 (NJ)

Record details

NPI number1558803809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nj Memory And Behavioral Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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