Provider Demographics
NPI:1386980217
Name:MCFARLANE, CHRISTINE LAVERN (NP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LAVERN
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5095 PEACHTREE PKWY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2524
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:5764 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-1908
Practice Address - Country:US
Practice Address - Phone:770-457-4401
Practice Address - Fax:770-457-9434
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN164464363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily