JECHELL LARY-WALLER

GRAY, GA
NPI1295548378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN15699)
Enumeration Date2025-01-31
Last Update Date2025-07-24
Business Address
JECHELL LARY-WALLER PMHNP
452 GRAHAM WOODS CIR
GRAY, GA 31032-4914
Phone number: 478-390-3836
Mailing Address
JECHELL LARY-WALLER PMHNP
452 GRAHAM WOODS CIR
GRAY, GA 31032-4914
Phone number: 478-390-3836