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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.