Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Grace Boren, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1245910298

Samantha Grace Boren, PMHNP-BC is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2023, 3 years ago. Practices with Region IV Mental Health Services, a 9-clinician group and offers telehealth. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
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

609 Brunson Dr Ste B
Tupelo, MS 38801-4948
Phone: (662) 432-1097
Fax: (833) 707-1951
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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 BORE-TLLM8M (MS)

Record details

NPI number1245910298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Region Iv Mental Health Services — 9 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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