Provider Demographics
NPI:1811028475
Name:MCFARLAND, HEATHER N
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 OLD HICKORY BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2911
Mailing Address - Country:US
Mailing Address - Phone:731-660-6828
Mailing Address - Fax:731-660-6820
Practice Address - Street 1:621 OLD HICKORY BLVD STE G
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2911
Practice Address - Country:US
Practice Address - Phone:731-660-6402
Practice Address - Fax:731-664-6603
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7450363LF0000X
TN261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily