Provider Demographics
NPI:1114439114
Name:SAVERY, MEGAN M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:M
Last Name:SAVERY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:6537 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4826
Practice Address - Country:US
Practice Address - Phone:865-558-9822
Practice Address - Fax:833-908-2117
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2023-04-13
Deactivation Date:2018-02-09
Deactivation Code:
Reactivation Date:2018-04-17
Provider Licenses
StateLicense IDTaxonomies
FLARNP9319240363LF0000X
TN26797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024859000Medicaid
TNQ054356Medicaid