Rebecca Patricia Fairly in Jackson - Nurse Anesthetist, Certified Registered
Rebecca Patricia Fairly - NPI 1073697090
Rebecca Patricia Fairly is a Nurse Anesthetist, Certified Registered in Jackson, Mississippi. Rebecca Patricia Fairly practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Rebecca Patricia Fairly is 1073697090. The last update date is 2010-12-21.
Rebecca Patricia Fairly's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019844619 and fax number 6019484657. The mailing address for Rebecca Patricia Fairly is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Patricia Fairly |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019844619 |
| Fax Number | 6019484657 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1073697090 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2010-12-21 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019844619 |
| Fax Number | 6019484657 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R594792 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113607 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rebecca Patricia Fairly by the Centers for Medicare & Medicaid Services?
The Rebecca Patricia Fairly has been issued the NPI (National Provider Identifier) 1073697090, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Rebecca Patricia Fairly?
The Rebecca Patricia Fairly is physically situated at 2500 N State St, in the city of Jackson, state of MS, with the postal code 392164500.
What is the Rebecca Patricia Fairly's specialty and taxonomy code?
The Rebecca Patricia Fairly's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date was the 1073697090 assigned to Rebecca Patricia Fairly?
The Rebecca Patricia Fairly was issued its 1073697090 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Rebecca Patricia Fairly most recently updated or refreshed?
The details pertaining to the Rebecca Patricia Fairly, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-21.
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