Provider Demographics
NPI:1124840640
Name:BEASLEY, SAVANNAH JO (DNP FNP)
Entity type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:JO
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:DNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 LUPTON DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4713
Mailing Address - Country:US
Mailing Address - Phone:512-850-8524
Mailing Address - Fax:
Practice Address - Street 1:408 LUPTON DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-4713
Practice Address - Country:US
Practice Address - Phone:512-850-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-26
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily