AMANDA FOLSOM


Address: 340 Stateline Rd W, Southaven, MS 38671-1610
Phone: 6629850625

AMANDA FOLSOM (NPI# 1851916837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851916837
Entity Type Individual
Full Name AMANDA FOLSOM
Credential PMHNP
Practice Address 340 Stateline Rd W
Southaven
MS 38671-1610
Practice Telephone 6629850625
Mailing Telephone 6629850625
Enumeration Date 2020-06-15
Last Update Date 2020-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
903658 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 340 STATELINE RD W
City SOUTHAVEN
State MS
Zip Code 38671-1610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700088085 Kallol Kumar Saha Family Medicine 340 Stateline Rd W, Southaven, MS 38671-1610 2007-05-31
1659990075 Addiction Campuses Professional Services of Mississippi, LLC Psychiatry & Neurology 340 Stateline Rd W, Southaven, MS 38671-1610 2020-04-15
1831728583 Treneise Hunt-smith Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2020-04-05
1164083747 Jennifer Gail Ross Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2019-06-25
1073035168 Jerry D Williams II Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671 2017-07-11
1356703524 Addiction Campuses of Mississippi, LLC Substance Abuse Rehabilitation Facility 340 Stateline Rd W, Southaven, MS 38671-1610 2016-03-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285196196 Emma Tinsley-bowles Long Social Worker 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 2019-04-01
1851847586 Tiffany Lashea Jones Adult Companion 8755 Millbranch Road, Southaven, MS 38671 2016-09-01
1538526140 Desoto Pediatric Extended Care LLC Skilled Nursing Facility 750 Stateline Road East, Southhaven, MS 38671 2016-01-27
1073983052 Tara Burt Physical Therapist 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 2015-10-02
1295160463 Ideal Community Care,llc In Home Supportive Care 8869 Centre Str #3, Southaven, MS 38671 2013-09-06
1578995692 Gregory Charles Eakins Jr. Optometrist 338 Goodman Rd West, Southaven, MS 38671 2013-07-31
1295173169 Erica R. Martin Social Worker 975 Swinnea Rdg Ste 3, Southaven, MS 38671 2013-06-12
1386918431 Freds Stores of Tennessee Inc Pharmacy 710 Church Road, Southaven, MS 38671 2012-03-06
1740565613 Mary Jeanette Scruggs Pharmacist 1011 Goodman Rd, Southaven, MS 38671 2011-10-11
1184919268 First Pharmacy Services 5 Pharmacy 5185a Getwell Rd, Southaven, MS 38671 2011-06-16
Find all providers in zip 38671

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336770015 Jamie Alise Mcfarland Nurse Practitioner 8752 Cat Tail Dr, Southaven, MS 38671-5072 2020-01-30
1235619206 Tracy Ellis Burns Nurse Practitioner 5699 Getwell Rd Bldg H1, Southaven, MS 38672-7311 2018-08-18
1225646110 Tabitha Flowers Arrington Nurse Practitioner 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 2020-07-17
1164083747 Jennifer Gail Ross Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2019-06-25
1063976983 Collietta Bassett Nurse Practitioner 5185 Getwell Rd, Southaven, MS 38671-9691 2019-01-24
1649753161 Tanisha Martin Nurse Practitioner 8626 Airways Blvd, Southaven, MS 38671-2603 2018-09-11
1760902712 Katelyn Lee Conner Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672 2017-06-21
1578913885 In Focus Psychiatry LLC Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 2016-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548861909 Sheila Ruth Cater Murphy Nurse Practitioner 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 2020-11-03
1376157487 Rebekah N Stallworth Nurse Practitioner 5200 Griffin St, Moss Point, MS 39563-2020 2020-09-04
1588278006 Shayla Lee Nurse Practitioner 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 2020-09-02
1093329633 Mary Lindsey Lumley Nurse Practitioner 620 Hwy 51, Brookhaven, MS 39601 2020-09-01
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1093325409 Justin Robert Ragon Nurse Practitioner 40 Roosters Ln, Carriere, MS 39426-7022 2020-07-31
1467078220 Scott Drennan Nurse Practitioner 2105 Sandalwood Pl, Gautier, MS 39553-7705 2020-06-17
1811511819 Aretha M. Northington Nurse Practitioner 1430 Wingfield Dr., Jackson, MS 39204-4448 2020-06-04
1942840996 Cocetha Belton Nurse Practitioner 201 Copper Ridge Way, Florence, MS 39073-4601 2020-01-07
1457998965 Katie Mae Spann Nurse Practitioner 1510 Hawthorne Pl, Clinton, MS 39056-3911 2019-12-03
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Competitor

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City SOUTHAVEN
Zip Code 38671

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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