Kimberly Tanner Fava
WHCNP, APRN | Nurse Practitioner - Obstetrics & Gynecology | 17+ years Exp
2000 N State St, Clarksdale
Mississippi, 38614-6100
662-627-7361
Kimberly Tanner Fava is a Clarksdale, Mississippi based nurse practitioner with 17 years of experience in Obstetrics & Gynecology. She completed her graduation in 2008. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly Tanner Fava is R854373 in Mississippi. Her current practice location is 2000 N State St, Clarksdale. Patients can reach her at 662-627-7361 or can fax her at 662-627-1158. Kimberly Tanner Fava is WHCNP, APRN with specialization in Obstetrics & Gynecology and her NPI number (Unique professional ID assigned by NPPES) is 1215195631.
Kimberly Tanner Fava has additional training in subspecialties specific to female reproductive and sexual health, so her focus is on treating women who are of reproductive age in matters related to fertility and childbirth.
Obstetrics & Gynecology Nurse Practitioner (OGNP) takes care of pregnant women before, during, and immediately after labor, and may oversee the birthing process. OBNPs also care for women's health-related needs, such as routine pelvic exams, birth control advice, and other reproductive health issues.
Complete Profile:
Kimberly Tanner Fava speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kimberly Tanner Fava |
| Specialization: | Obstetrics & Gynecology Nurse Practitioner (OGNP) |
| Gender: | Female |
| Credentials: | WHCNP, APRN |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2000 N State St, Clarksdale,
Mississippi, 38614-6100 |
| Phone: | 662-627-7361 |
| Fax: | 662-627-1158 |
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.
| PAC ID: | 0547333973 |
| Enrollment ID: | I20080718000185 |
| NPI Number: | 1215195631 |
| NPI Enumeration Date: | 02 Jun, 2008 |
| NPI Last Update On: | 11 Jan, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Tanner Fava are as mentioned below.
| License Number | Specialization | State | Status | |
| R854373 | | Mississippi | Primary | |
| R854373 | Obstetrics & Gynecology | Mississippi | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (250042) | Clarksdale, MS | Acute Care Hospital |
| (250167) | Olive branch, MS | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kimberly Tanner Fava is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Womans Clinic, A Professional Association (1254228067) | 7 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Tanner Fava such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3459830 | 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: | Kimberly Tanner Fava
2000 N State St,
Clarksdale, Mississippi |
| Zip: | 38614-6100 |
| Phone Number: | 662-627-7361 |
| Fax Number: | 662-627-1158 |
Patients can reach Kimberly Tanner Fava at
2000 N State St, Clarksdale, Mississippi or can
call to book an appointment on 662-627-7361.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.