Healthcare Provider Details

I. General information

NPI: 1275874232
Provider Name (Legal Business Name): JENNY ANNETTE SAVAGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3094 N MAIN ST
CROSSVILLE TN
38555-5471
US

IV. Provider business mailing address

3094 N MAIN ST
CROSSVILLE TN
38555-5471
US

V. Phone/Fax

Practice location:
  • Phone: 931-644-5423
  • Fax: 931-337-0155
Mailing address:
  • Phone: 931-644-5423
  • Fax: 931-337-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number17486
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number17486
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number17486
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: