Fahey, Debra

Fahey, Debra is an sole proprietor health care provider with primary practice located at 1514 Bienville Blvd , Ocean Springs MS 39564-3006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fahey, Debra can be contacted via phone (228) 382-9222.

Contact Information

Primary practice address
1514 Bienville Blvd Ocean Springs MS 39564-3006
Phone: (228) 382-9222
Fax: (228) 382-9224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R874987 Mississippi

Profile Details

NPI number 1245320456
LBN Legal business name Fahey, Debra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 16th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245320456 NPPES
Mississippi MEDICAID 03334708

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