Healthcare Provider Details

I. General information

NPI: 1598464299
Provider Name (Legal Business Name): HALEY WHITE ENFINGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 06/11/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 SOUTHERN BLVD
SAVANNAH GA
31405-7458
US

IV. Provider business mailing address

3005 RIVER DR APT 509
SAVANNAH GA
31404-5079
US

V. Phone/Fax

Practice location:
  • Phone: 912-495-5310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN251900
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: