Folsom, Amanda

Folsom, Amanda is an sole proprietor health care provider with primary practice located at 340 Stateline Rd W , Southaven MS 38671-1610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Folsom, Amanda can be contacted via phone (662) 985-0625.

Contact Information

Primary practice address
340 Stateline Rd W Southaven MS 38671-1610
Phone: (662) 985-0625
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53-83076-121 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 903658 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X C-APN.0004297-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 30471 Tennessee

Profile Details

NPI number 1851916837
LBN Legal business name Folsom, Amanda
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2020
Last updated Apr 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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