Provider Demographics
NPI:1881329498
Name:BOYD, SAVANNAH LEEANN (FNP-C)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:LEEANN
Last Name:BOYD
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:LEEANN
Other - Last Name:SHARKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 KATE ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367-9406
Mailing Address - Country:US
Mailing Address - Phone:601-410-9395
Mailing Address - Fax:
Practice Address - Street 1:501 AZALEA DR STE F
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367-2661
Practice Address - Country:US
Practice Address - Phone:601-410-9395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty