Provider Demographics
NPI:1679198287
Name:JOHNSON-MCFARLAND, MARILYN ANNE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:ANNE
Last Name:JOHNSON-MCFARLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:MARILYN
Other - Middle Name:ANNE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:22 CHENAL CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9566
Mailing Address - Country:US
Mailing Address - Phone:501-680-8166
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT VINCENT CIR STE 440
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5492
Practice Address - Country:US
Practice Address - Phone:501-666-4294
Practice Address - Fax:501-666-8538
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM000113367A00000X
AR124522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife