Provider Demographics
NPI:1962296897
Name:SPAULDING, SAVANNAH JOYCE (RN)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:JOYCE
Last Name:SPAULDING
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 5TH AVE S # DEW1056
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-2309
Mailing Address - Country:US
Mailing Address - Phone:256-689-7247
Mailing Address - Fax:
Practice Address - Street 1:3220 5TH AVE S # DEW1056
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-2309
Practice Address - Country:US
Practice Address - Phone:566-897-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-171687163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse