Individual provider · Type 1 NPI

Joanne Fairley, NP

Nurse Practitioner · Gulfport, MS

NPI number 1972984136 Active

Practice location

14116 Customs Blvd
Gulfport, MS 39503-5164

Call (601) 957-6300 Map

Mailing address

7755 Center Ave, Ste 630
Huntington Beach, CA 92647-9152

Other practice locations

4201 Coventry Dr, Moss Point, MS 39562-8026 · (228) 235-3173
1 Galleria Blvd # 1420, Metairie, LA 70001-2082 · (833) 362-5364

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	R781853 (MS)
Gerontology Nurse Practitioner	363LG0600X	R781853 (MS)
Nurse Practitioner Primary	363L00000X	281478 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

Other nurse practitioner providers in Gulfport

See all in Gulfport →

About NPI 1972984136

Joanne Fairley, NP's National Provider Identifier is 1972984136, issued on Jun 13, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Oct 4, 2022.