Provider Demographics
NPI:1154092518
Name:ATKINS, SAVANNAH CHRISTIAN (FNP)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:CHRISTIAN
Last Name:ATKINS
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 1:100 MUNICIPAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-3703
Mailing Address - Country:US
Mailing Address - Phone:903-713-1574
Mailing Address - Fax:
Practice Address - Street 1:100 MUNICIPAL DR STE 300
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-3703
Practice Address - Country:US
Practice Address - Phone:903-713-1574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054431363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner