Provider Demographics
NPI:1295545770
Name:HOLBROOK, SAVANNAH ASHLEY (FNP-BC)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:ASHLEY
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:ASHLEY
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8121 MADISON BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-2082
Mailing Address - Country:US
Mailing Address - Phone:256-325-0041
Mailing Address - Fax:256-325-0042
Practice Address - Street 1:8121 MADISON BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2082
Practice Address - Country:US
Practice Address - Phone:256-325-0041
Practice Address - Fax:256-325-0042
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-202638363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily