Provider Demographics
NPI:1386438489
Name:MCFARLAND, JALYRICA
Entity type:Individual
Prefix:
First Name:JALYRICA
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 SPRINGRIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5671
Mailing Address - Country:US
Mailing Address - Phone:601-398-5903
Mailing Address - Fax:
Practice Address - Street 1:580 SPRINGRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5671
Practice Address - Country:US
Practice Address - Phone:601-397-7715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2767225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty