Individual provider · Type 1 NPI
Amanda Degnan Jackson
Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
NPI number
1295581486
Active
Practice location
919 Ferncliff Cv Ste 1
Southaven, MS 38671-2402
Fax (844) 444-1263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906654 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1295581486
Amanda Degnan Jackson's National Provider Identifier is 1295581486, issued on Apr 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southaven, MS. The record was last updated on Jan 12, 2026.