Marlis Jane Faber Dunlap, FNP-C
Nurse Practitioner, Family in Lagrange, GA. Individual provider (NPI-1).
NPI number1780620344
StatusActive
Last updated in NPPESJan 2, 2026
Details
- NPI
- 1780620344
- Entity type
- Individual (NPI-1)
- Name
- Marlis Jane Faber Dunlap
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2006
- Certification date
- Jan 2, 2026
- Last updated
- Jan 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 121320 | GA | Yes |
| 363L00000X | Nurse Practitioner | 121320 | GA |
Practice location
Clark-Holder Clinic, P.A.303 Smith Street
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
Mailing address
Clark-Holder Clinic, P.A.303 Smith Street
Lagrange, GA 30240
Phone 706-882-8831 · Fax 706-812-4091
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