Healthcare Provider Details

I. General information

NPI: 1902717143
Provider Name (Legal Business Name): VANNASHIA MCFARLANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W LEBANON STE 120
FRISCO TX
75036-3412
US

IV. Provider business mailing address

255 W LEBANON STE 120
FRISCO TX
75036-3412
US

V. Phone/Fax

Practice location:
  • Phone: 469-430-1930
  • Fax: 469-430-0633
Mailing address:
  • Phone: 469-430-1930
  • Fax: 469-430-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1249563
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: