Healthcare Provider Details

I. General information

NPI: 1063065035
Provider Name (Legal Business Name): THE SAVVY NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2296 HENDERSON MILL RD NE STE 116
ATLANTA GA
30345-2739
US

IV. Provider business mailing address

2296 HENDERSON MILL RD NE STE 116
ATLANTA GA
30345-2739
US

V. Phone/Fax

Practice location:
  • Phone: 404-618-3131
  • Fax:
Mailing address:
  • Phone: 404-618-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KIA ANESIA MITCHELL
Title or Position: OWNER/NURSE PRACTITIONER
Credential: MSN, APRN, NP-C
Phone: 404-618-3131