Provider Demographics
NPI:1013515980
Name:MCDOUGAL, AARRIN MARIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AARRIN
Middle Name:MARIE
Last Name:MCDOUGAL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:AAR'RIN
Other - Middle Name:MARIE
Other - Last Name:MCDOUGAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:768 COUNTY ROAD 10
Mailing Address - Street 2:
Mailing Address - City:TILLATOBA
Mailing Address - State:MS
Mailing Address - Zip Code:38961-3082
Mailing Address - Country:US
Mailing Address - Phone:662-417-4775
Mailing Address - Fax:
Practice Address - Street 1:568 HIGHWAY 6 E
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-3002
Practice Address - Country:US
Practice Address - Phone:662-655-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily