Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. REBECCA PATRICIA FAIRLY CRNA
NPI 1073697090
Nurse Anesthetist, Certified Registered in Jackson, MS

Active since October 25, 2006
2500 N STATE ST, PFS, JACKSON, MS 39216(601) 984-4619(601) 948-4657 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Rebecca Patricia Fairly Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. REBECCA PATRICIA FAIRLY CRNA (NPI 1073697090) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R594792) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073697090
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. REBECCA PATRICIA FAIRLYCredential: CRNA
Location Address2500 N STATE ST, PFSJackson, MS 39216-4500
Mailing Address109 Lake Hill PlBrandon, MS 39047-8237 · (601) 259-3217
Fax(601) 948-4657
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 5, 2026
NPI 1073697090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MS · R594792
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2500 N STATE ST, Jackson, MS 39216

Other Names 1

Professional Name (2)Mrs. Rbecca P. Fairly Crna

Other Identifiers 1

Medicaid00113607MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Fairly's NPI number?

The NPI number for Rebecca Fairly is 1073697090. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Mrs. Rbecca P. Fairly Crna.

Where is Rebecca Fairly located?

Rebecca Fairly practices at 2500 N State St Pfs, Jackson, MS 39216. The listed phone number is (601) 984-4619.

What is Rebecca Fairly's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Rebecca Fairly was last updated on July 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.