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

Miss. Fredericka Lynette Fairman

Individual provider Nurse's Aide · NPI 1679389944

Miss. Fredericka Lynette Fairman is a Nurse's Aide in Brookhaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

504 Eastgate Dr
Brookhaven, MS 39601-3106
Phone: (601) 748-1731
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 083949 (MS)

Record details

NPI number1679389944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2024
Last updated in NPPESJanuary 1, 2025
Certification dateJanuary 1, 2025
Mailing address504 Eastgate Dr, Brookhaven, MS 39601-3106