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General NPI Number Information
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NPI Number | 1245726256
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Entity Type | Individual
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Provider Name | AMANDA LYNN YOUNT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 364 S FRONT ST STE 201
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City | MEMPHIS
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State | TN
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Zip | 38103-4161
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Country | US
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Telephone | 901-296-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 7696 HIGHWAY 4 W
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City | SENATOBIA
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State | MS
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Zip | 38668-4138
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Country | US
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Telephone | 662-205-0845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 902764
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 31990
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License Number State | TN
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