Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Nicola Jackson Woodall, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073092185

Amanda Nicola Jackson Woodall, PMHNP-BC is a Nurse Practitioner in Cordova, Tennessee. Qualified in 2018, 8 years ago. Practices with Jim Pang MD PLLC, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

8130 Country Village Dr Ste 102
Cordova, TN 38016-2087
Phone: (901) 308-2915
Fax: (901) 308-2924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6857 Cobblestone Blvd, Southaven, MS 38672-9312 — (662) 253-8040

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 197904 (TN)

Record details

NPI number1073092185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESAugust 9, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jim Pang Md Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cordova