IndividualActive
Amanda Folsom, PMHNP
NPI 1851916837 · Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
Provider details
- NPI number
- 1851916837
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 53-83076-121 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
340 Stateline Rd W
Southaven, MS 38671-1610
Phone: (662) 985-0625
Approximate (ZIP-level) locationGet directions
Mailing address
340 Stateline Rd W
Southaven, MS 38671-1610
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.