Provider Demographics
NPI:1245726256
Name:YOUNT, AMANDA LYNN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:YOUNT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7696 HIGHWAY 4 W
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-4138
Mailing Address - Country:US
Mailing Address - Phone:662-205-0845
Mailing Address - Fax:
Practice Address - Street 1:364 S FRONT ST STE 201
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-4161
Practice Address - Country:US
Practice Address - Phone:901-296-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902764363LP0808X
TN31990363LP0808X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN31990OtherNURSE PRACTITIONER LICENSE
MS902764OtherNURSE PRACTITIONER LICENSE