Individual
KELLIE M. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582-3288
(843) 491-3344
Mailing address
1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582-3288
(843) 491-3344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30085
SC
Other
Enumeration date
04/03/2025
Last updated
02/25/2026
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