MRS. STACEY ANN HODGE PURVIS FNP NPI 1881763811

NPI Information

NPI: 1881763811
Provider Name: MRS. STACEY ANN HODGE PURVIS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5354 REYNOLDS ST
SUITE 318
SAVANNAH, GA
ZIP 31405
Phone: (912) 352-4777
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MRS. Stacey Ann Hodge Purvis, FNP is a family nurse practitioner in Savannah, GA. MRS. Stacey Ann Hodge Purvis, FNP NPI is 1881763811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5354 REYNOLDS ST
SUITE 318
SAVANNAH, GA
ZIP 31405
Phone: (912) 352-4777
Fax: (912) 351-0630

The NPI 1881763811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN117924	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00831872B	MEDICAID	GEORGIA
2	RN117924	OTHER	GEORGIA	GA LICENSE
3	S77709	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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