Healthcare Provider Details

I. General information

NPI: 1730796376
Provider Name (Legal Business Name): MARLANA LEE MCFARLAND DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 LIBERTY RD
FLOWOOD MS
39232-9300
US

IV. Provider business mailing address

60135 CALDWELL RD
SMITHVILLE MS
38870-9749
US

V. Phone/Fax

Practice location:
  • Phone: 769-243-6141
  • Fax:
Mailing address:
  • Phone: 662-315-0427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number904099
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: