Provider Demographics
NPI:1932978954
Name:FARLIN, JONATHON (RN)
Entity Type:Individual
Prefix:MR
First Name:JONATHON
Middle Name:
Last Name:FARLIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2683 N QUALITY LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-5521
Mailing Address - Country:US
Mailing Address - Phone:479-463-1840
Mailing Address - Fax:479-442-0991
Practice Address - Street 1:2683 N QUALITY LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5521
Practice Address - Country:US
Practice Address - Phone:479-463-1840
Practice Address - Fax:479-442-0991
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR078610163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health