Healthcare Provider Details

I. General information

NPI: 1164815940
Provider Name (Legal Business Name): MICHAEL JAMES FURLOW PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 PLAZA DR
FOLSOM CA
95630-4788
US

IV. Provider business mailing address

136 MEADOW OAKS LN
JACKSON MS
39209-2000
US

V. Phone/Fax

Practice location:
  • Phone: 916-351-9400
  • Fax:
Mailing address:
  • Phone: 769-798-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95038780
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number907904
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: