Mrs. Rebecca Patricia Fairly is a Jackson, Mississippi based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mrs. Rebecca Patricia Fairly is R594792 for Anesthesia Administration in Mississippi. Her current practice location is 2500 N State St, Pfs, Jackson. Patients can reach her at 601-984-4619 or can fax her at 601-948-4657. Mrs. Rebecca Patricia Fairly is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1073697090. Mrs. Rebecca Patricia Fairly is a certified 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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mrs. Rebecca Patricia Fairly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Female
Practice Address:
2500 N State St, Pfs, Jackson, Mississippi, 39216-4500
Phone:
601-984-4619
Fax:
601-948-4657
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073697090
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
21 Dec, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Rebecca Patricia Fairly are as mentioned below.
License Number
Specialization
State
Status
R594792
Anesthesia Administration
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Rebecca Patricia Fairly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00113607
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
109 Lake Hill Pl, Brandon, Mississippi
Zip:
39047-8237
Phone Number:
601-259-3217
Fax Number:
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Patients can reach Mrs. Rebecca Patricia Fairly at 2500 N State St, Pfs, Jackson, Mississippi or can call to book an appointment on 601-984-4619.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.