Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Degnan Jackson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295581486

Amanda Degnan Jackson is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2024, 2 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

919 Ferncliff Cv Ste 1
Southaven, MS 38671-2402
Phone: (662) 205-5045
Fax: (844) 444-1263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 906654 (MS)

Record details

NPI number1295581486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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