Healthcare Provider Details

I. General information

NPI: 1932211687
Provider Name (Legal Business Name): JENNIFER GILLINS CURRAN CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST
SAVANNAH GA
31405-6015
US

IV. Provider business mailing address

PO BOX 16664
SAVANNAH GA
31416-3364
US

V. Phone/Fax

Practice location:
  • Phone: 912-839-6000
  • Fax:
Mailing address:
  • Phone: 912-657-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN085023
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: