Provider Demographics
NPI:1518701085
Name:HENSLEY, SAVANNAH ELMORE (FNP-C)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:ELMORE
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 MCALISTER RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-4130
Mailing Address - Country:US
Mailing Address - Phone:980-212-6500
Mailing Address - Fax:980-212-6401
Practice Address - Street 1:447 MCALISTER RD STE 2400
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-4130
Practice Address - Country:US
Practice Address - Phone:980-212-6500
Practice Address - Fax:980-212-6401
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06240918363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily