Individual
DEBRA FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1514 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-3006
(228) 382-9222
(228) 382-9224
Mailing address
PO BOX 1248, OCEAN SPRINGS, MS 39566-1248
(228) 382-9222
(228) 382-9224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R874987
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03334708
—
MS
Enumeration date
10/16/2006
Last updated
07/16/2013
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