Provider Demographics
NPI:1932974292
Name:PLUNK, SAVANNAH RENEE
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RENEE
Last Name:PLUNK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-3402
Mailing Address - Country:US
Mailing Address - Phone:931-231-4338
Mailing Address - Fax:
Practice Address - Street 1:244 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LYNNVILLE
Practice Address - State:TN
Practice Address - Zip Code:38472-3115
Practice Address - Country:US
Practice Address - Phone:919-649-2695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide