Basic Information
Provider Information
NPI: 1447587894
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: ASHLEY
MiddleName: RYAN
NamePrefix: MRS.
NameSuffix:  
Credential: NURSE PRACTITIONER
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1612 N MAIN ST STE B
Address2:  
City: SHELBYVILLE
State: TN
PostalCode: 371602392
CountryCode: US
TelephoneNumber: 9316852022
FaxNumber: 9316254158
Practice Location
Address1: 1612 N MAIN ST STE B
Address2:  
City: SHELBYVILLE
State: TN
PostalCode: 371602392
CountryCode: US
TelephoneNumber: 9316852022
FaxNumber: 9316254158
Other Information
ProviderEnumerationDate: 11/05/2009
LastUpdateDate: 11/05/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X6725290TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home