Individual provider · Type 1 NPI

Savannah R. Boles, RT(R)(MR)RN

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1174432991 Active

Practice location

403 N State Of Franklin Rd
Johnson City, TN 37604-6034

Call (423) 431-7111 Map

Mailing address

335 Wayland Dr
Greeneville, TN 37743-5950

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174432991

Savannah R. Boles, RT(R)(MR)RN's National Provider Identifier is 1174432991, issued on Sep 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 7, 2026.