Provider Demographics
NPI:1659905297
Name:JARVIS, SAVANNAH DENISE (MS, FNP-C)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:DENISE
Last Name:JARVIS
Suffix:
Gender:F
Credentials:MS, FNP-C
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:D
Other - Last Name:WELLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:389 GARRETTS BND
Mailing Address - Street 2:
Mailing Address - City:GRIFFITHSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25521-4715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WV
Practice Address - Zip Code:25130-1699
Practice Address - Country:US
Practice Address - Phone:304-369-1230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-22
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV105578363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner