Individual provider · Type 1 NPI
Samantha Grace Boren, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
NPI number
1245910298
Active
Practice location
609 Brunson Dr Ste B
Tupelo, MS 38801-4948
Fax (833) 707-1951
Mailing address
PO Box 480
Corinth, MS 38835-0480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | BORE-TLLM8M (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1245910298
Samantha Grace Boren, PMHNP-BC's National Provider Identifier is 1245910298, issued on Jul 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tupelo, MS. The record was last updated on Jul 8, 2026.