Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Makenna Bourland, PA-C

Individual provider Physician Assistant · NPI 1659123784

Mrs. Makenna Bourland, PA-C is a Physician Assistant in Tupelo, Mississippi. Qualified in 2025, 1 year ago. Practices with Relias Emergency Medicine Specialists of Tupelo LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4996
Phone: (662) 377-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00927 (MS)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1659123784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 2, 2024
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Relias Emergency Medicine Specialists Of Tupelo Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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