Healthcare Provider Details
I. General information
NPI: 1417343096
Provider Name (Legal Business Name): CHRISTI OATES PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2015
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
836 E 65TH ST SUITE 10
SAVANNAH GA
31405-4434
US
IV. Provider business mailing address
704 WHIPPOORWILL RD
SAVANNAH GA
31410-1707
US
V. Phone/Fax
- Phone: 912-201-1284
- Fax:
- Phone: 912-695-5945
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | 172573 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 172573 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 172573 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: