Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. VICKY LYNNE FAIREY, RN,C
ActiveChild & Adolescent Psychiatric Nurse · HAYTI, MO
Registration Details
- NPI Number
- 1710006101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2007 (19.107035112832 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
142179 (MO)142179 (MO)
Practice Information
- Address
-
HIGHWAY J NORTH BOX 441HAYTI, MO, 63851Browse MO providers · Browse ZIP 63851
- Phone
- 5733592600
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
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.