Healthcare Provider Details

I. General information

NPI: 1124613989
Provider Name (Legal Business Name): ANSLEY SELLARS POWELL WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SKIDAWAY VILLAGE WALK STE C
SAVANNAH GA
31411-2916
US

IV. Provider business mailing address

PO BOX 13686
SAVANNAH GA
31416-0686
US

V. Phone/Fax

Practice location:
  • Phone: 912-598-6312
  • Fax: 912-480-9897
Mailing address:
  • Phone: 912-598-6312
  • Fax: 912-480-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN233236
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN233236
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: