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

Mrs. Joanne Fairley, NP

Individual provider Nurse Practitioner · NPI 1972984136

Mrs. Joanne Fairley, NP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2015, 11 years ago. Practices with Medical Systems Management, LLC, a 49-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Mississippi.

Years since qualifying
11
Licensed in
AZ, MS
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

14116 Customs Blvd
Gulfport, MS 39503-5164
Phone: (601) 957-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 — (833) 362-5364
  • 4201 Coventry Dr, Moss Point, MS 39562-8026 — (228) 235-3173

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 281478 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence R781853 (MS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence R781853 (MS)

Record details

NPI number1972984136
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 13, 2015
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Medical Systems Management, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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