SearchMississippi225700000X

Qua'Shellea Fairley

NPI 1467251850 · on the registry since 2025

Practice

Address
10216 3rd Ave Ste C
Diberville, MS 39540
Phone
(228) 296-6130
Fax
(228) 296-6130
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi