Healthcare Provider Details

I. General information

NPI: 1245889443
Provider Name (Legal Business Name): JAMIE R SLUMP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4790 WATERS AVE STE 400
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

4790 WATERS AVE STE 400
SAVANNAH GA
31404-6220
US

V. Phone/Fax

Practice location:
  • Phone: 912-866-1220
  • Fax: 855-538-6936
Mailing address:
  • Phone: 912-866-1220
  • Fax: 855-538-6936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN158893
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27229
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: