Provider Demographics
NPI:1598359721
Name:MAY, SAVANNAH NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:NICOLE
Last Name:MAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:N
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-0432
Mailing Address - Country:US
Mailing Address - Phone:606-430-2209
Mailing Address - Fax:606-218-7509
Practice Address - Street 1:911 BYPASS RD BLDG A
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1689
Practice Address - Country:US
Practice Address - Phone:606-430-2209
Practice Address - Fax:606-218-7509
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily