JECHELL LARY-WALLER PMHNP
NPI 1295548378
Nurse Practitioner - Psychiatric/Mental Health in Gray, GA
About Jechell Lary-waller Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JECHELL LARY-WALLER PMHNP (NPI 1295548378) is an individual psychiatric/mental health provider in Gray, Georgia, licensed in Georgia (RN15699) and active in the NPI registry since January 2025. She maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jechell Lary-waller's NPI number?
The NPI number for Jechell Lary-waller is 1295548378. It was assigned to this individual provider in the NPPES registry on January 31, 2025.
Where is Jechell Lary-waller located?
Jechell Lary-waller practices at 452 Graham Woods Cir, Gray, GA 31032. The listed phone number is (478) 390-3836.
What is Jechell Lary-waller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
What insurance does Jechell Lary-waller accept?
Health plans from UnitedHealthcare list Jechell Lary-waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jechell Lary-waller was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jechell Lary-Waller, PMHNP · NPI 1295548378
Psychiatric/Mental Health physician in Gray, Georgia. Individual provider, active in the CMS NPPES registry since January 31, 2025.
## Identity
- **NPI:** 1295548378 (Entity type: Individual)
- **Enumerated:** January 31, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN15699 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 452 GRAHAM WOODS CIR, Gray, GA 31032-4914
- **Phone:** (478) 390-3836
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295548378) · Data from the CMS NPPES public registry.