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

Dametra Mangum, FNP

Individual provider Family Nurse Practitioner · NPI 1740904846

Dametra Mangum, FNP is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2022, 4 years ago. Practices with Simpson Community Healthcare, Inc, a 9-clinician group. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

232 Market St Ste 259
Flowood, MS 39232-3339
Phone: (601) 310-9784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905487 (MS)

Record details

NPI number1740904846
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Simpson Community Healthcare, Inc. — 9 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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