Provider Demographics
NPI:1366950941
Name:ROGERS, SAVANNAH COCKFIELD (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:COCKFIELD
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-3324
Mailing Address - Country:US
Mailing Address - Phone:843-687-5464
Mailing Address - Fax:843-705-7475
Practice Address - Street 1:2400 BULL ST STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-9171
Practice Address - Country:US
Practice Address - Phone:843-687-5464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21293363LF0000X
GARN273594363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily