IndividualActive
Amanda Martin, FNP
NPI 1356538045 · Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
Provider details
- NPI number
- 1356538045
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- R865619 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
609 Brunson Dr Ste B
Tupelo, MS 38801-4948
Phone: (662) 432-1097
Fax: (833) 707-1951
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 480
Corinth, MS 38835-0480
Additional practice locations (1)
- 5681 Highway 363Mantachie, MS 38855-7632Phone: (662) 282-4226Fax: (662) 282-7946
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.