Provider Demographics
NPI:1891453940
Name:WHITE, SAVANA H (PA)
Entity type:Individual
Prefix:
First Name:SAVANA
Middle Name:H
Last Name:WHITE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SAVANA
Other - Middle Name:H
Other - Last Name:PIPPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1775 DAX CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5643
Mailing Address - Country:US
Mailing Address - Phone:850-628-6326
Mailing Address - Fax:
Practice Address - Street 1:8106 GATEKEEPER WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4077
Practice Address - Country:US
Practice Address - Phone:850-628-6326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant