IndividualActive
Amanda Ham, ANP-BC, PMHNP-BC
NPI 1912220237 · Psychiatric/Mental Health Nurse Practitioner · Corinth, MS
Provider details
- NPI number
- 1912220237
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP-BC, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 855720 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 Alcorn Dr
Corinth, MS 38834-9321
Phone: (662) 293-1160
Fax: (662) 293-4254
Approximate (ZIP-level) locationGet directions
Mailing address
808 Gann St
Iuka, MS 38852-1337
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2019-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.