IndividualActive
Amanda Thomas
NPI 1902031099 · Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
Provider details
- NPI number
- 1902031099
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R903178 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
219 N Church St
Tupelo, MS 38804-3815
Phone: (662) 260-4533
Fax: (662) 260-4576
Approximate (ZIP-level) locationGet directions
Mailing address
219 N Church St
Tupelo, MS 38804-3815
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.