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Contact Information

MAKENNA BOURLAND, PA-C
830 S GLOSTER ST
TUPELO, MS38801-4996
 Phone: 662-377-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MAKENNA BOURLAND · (Female)

NPI Number 1659123784
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/02/2024
Last updated 03/11/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MS License # PA00927
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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