Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BLACK, PMHNP-BC
ActiveKELLY BLACK, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MESA, Arizona. NPI 1912653536 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MESA, AZ
Registration Details
- NPI Number
- 1912653536
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2022 (4.4455926957761 yrs)
- Last Updated
- Feb 6, 2025
- Licenses
-
56220 (CA)305924 (AZ)95024873 (CA)
Practice Information
- Address
-
1910 S STAPLEY DR STE 120MESA, AZ, 852046676Browse AZ providers · Browse ZIP 85204
- Phone
- 6023413303
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| LANA J. PETERSON | PMHNP | 1972553360 |
| MARIANNE DOROTHY BARKER | ARNP | 1710930987 |
| MS. MARY E CORDELL | FNP | 1992751499 |
| LEANNE SERMENO | PMHNP | 1629014196 |
| MS. CATHERINE SUE BRADWAY | MSN, APRN, BC | 1831128016 |
| MISS VANESSA LYNDEL CURRY | NP | 1952326076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.