NPI age
1 years
Enumerated 2025-01-31
● Active
Type 1 · Individual
Jechell Lary-Waller, PMHNP
Lary-Waller is 1 of 3 nurse practitioner providers in Gray and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Practice location
452 Graham Woods Cir
Gray, GA 310324914
Mailing address
452 Graham Woods Cir
Gray, GA 310324914
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4539 N 22nd St Ste R
Phoenix, AZ 850164639
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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