Healthcare Provider Details

I. General information

NPI: 1528971082
Provider Name (Legal Business Name): JESSICA BURKS SNODGRASS BSN, RNC-NIC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-8202
  • Fax: 912-350-7909
Mailing address:
  • Phone: 912-350-8202
  • Fax: 912-350-7909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN195390
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: