Provider Demographics
NPI:1467159285
Name:MONDY, CHELSEY LAUREN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEY
Middle Name:LAUREN
Last Name:MONDY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:LAUREN
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHMNP-BC
Mailing Address - Street 1:2704 N OAK ST BLDG J
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1768
Mailing Address - Country:US
Mailing Address - Phone:229-262-7333
Mailing Address - Fax:
Practice Address - Street 1:2704 N OAK ST BLDG J
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1768
Practice Address - Country:US
Practice Address - Phone:229-262-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN249351363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health