Healthcare Provider Details

I. General information

NPI: 1922517853
Provider Name (Legal Business Name): PAIGE SOSEBEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAIGE BRENNAN RN

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 CANAL ST STE 601
POOLER GA
31322-4087
US

IV. Provider business mailing address

324 KENSINGTON DR
SAVANNAH GA
31405-5425
US

V. Phone/Fax

Practice location:
  • Phone: 912-724-0955
  • Fax: 912-373-8058
Mailing address:
  • Phone: 334-657-0590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP138012
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP318698
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: