NPI
Jennifer Marie Fabre Fairley
NPI 1700881133
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- P.T. Ph.D. CSCS
- Type
- Individual
- Enumeration date
- 2005-06-13
- Last updated
- 2022-09-14
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Specialties
Licenses
- License LA
- 04964
- License NM
- 4135
Location
- Practice location
- 1901 Highway 190 Ste 26
- City
- Mandeville LA
- Postal code
- 70448-3495
- Phone
- (985) 778-2282
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Mandeville, LA. 1,572 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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