Provider Demographics
NPI:1801787007
Name:KELLER, NANCI ALENE (BA, CPRS)
Entity type:Individual
Prefix:MS
First Name:NANCI
Middle Name:ALENE
Last Name:KELLER
Suffix:
Gender:F
Credentials:BA, CPRS
Other - Prefix:MRS
Other - First Name:NANCI
Other - Middle Name:ALENE
Other - Last Name:AMRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, CPRS
Mailing Address - Street 1:8928 HERTFORD PL W
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8401
Mailing Address - Country:US
Mailing Address - Phone:662-570-3470
Mailing Address - Fax:
Practice Address - Street 1:1200 PEABODY AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-4506
Practice Address - Country:US
Practice Address - Phone:901-567-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker