AMANDA FOLSOM

SOUTHAVEN, MS
NPI1851916837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MS  903658)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KS  53-83076-121)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CO  C-APN.0004297-C-NP)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN  30471)
Enumeration Date2020-06-15
Last Update Date2024-04-16
Business Address
AMANDA FOLSOM PMHNP
340 STATELINE RD W
SOUTHAVEN, MS 38671-1610
Phone number: 662-985-0625
Mailing Address
AMANDA FOLSOM PMHNP
340 STATELINE RD W
SOUTHAVEN, MS 38671-1610
Phone number: 662-985-0625