Provider Demographics
NPI:1689348203
Name:COE, SAVANNAH HOPE (APRN, FNP-C, AG-ACNP)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:HOPE
Last Name:COE
Suffix:
Gender:F
Credentials:APRN, FNP-C, AG-ACNP
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:HOPE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:503 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-3489
Mailing Address - Country:US
Mailing Address - Phone:423-745-2312
Mailing Address - Fax:423-746-0687
Practice Address - Street 1:503 W MADISON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-3489
Practice Address - Country:US
Practice Address - Phone:423-745-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29954363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care