Individual provider · Type 1 NPI

Makenna Bourland, PA-C

Physician Assistant · Tupelo, MS

NPI number 1659123784 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4996

Call (662) 377-3000 Map

Mailing address

201 W Main St
Tupelo, MS 38804-3917

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00927 (MS)
Medical Physician Assistant 363AM0700XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659123784

Makenna Bourland, PA-C's National Provider Identifier is 1659123784, issued on Apr 2, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tupelo, MS. The record was last updated on Mar 11, 2026.