Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Tanner Fava, WHCNP, APRN

Individual provider Women's Health Nurse Practitioner · NPI 1215195631

Kimberly Tanner Fava, WHCNP, APRN is a Nurse Practitioner in Oxford, Mississippi. Qualified in 2008, 18 years ago. Practices with Northwest Miss Regional Medical Center, a 20-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2008
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1204 Medical Park Dr
Oxford, MS 38655-5326
Phone: (662) 236-5717
Fax: (662) 234-4016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 854373 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 854373 (MS)

Record details

NPI number1215195631
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHCNP , APRN
Sole proprietorNo
NPI enumeratedJune 2, 2008
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northwest Miss Regional Medical Center — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oxford