Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS FREDERICKA LYNETTE FAIRMAN
ActiveNurse's Aide · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1679389944
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2024 (1.378035418447 yrs)
- Last Updated
- Jan 1, 2025
- License
-
083949 (MS)
Practice Information
- Address
-
504 EASTGATE DRBROOKHAVEN, MS, 396013106Browse MS providers · Browse ZIP 39601
- Phone
- 6017481731
- Primary Specialty
-
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.