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

Amanda Folsom, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1851916837

Amanda Folsom, PMHNP is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2019, 7 years ago. Practices with Eastern Iowa Health Center, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Kansas, Mississippi and Tennessee.

Years since qualifying
7
Licensed in
CO, KS, MS, TN
In the registry since
2020
Specialties on file
4
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

340 Stateline Rd W
Southaven, MS 38671-1610
Phone: (662) 985-0625
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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 903658 (MS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 53-83076-121 (KS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence C-APN.0004297-C-NP (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 30471 (TN)

Record details

NPI number1851916837
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJune 15, 2020
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eastern Iowa Health Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Southaven