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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAVANNAH R BOLES RT(R)(MR)RN
NPI 1174432991
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since September 07, 2026
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-7111 Get Directions Write a Review

NPPES record added: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Savannah R Boles Rt(r)(mr)rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANNAH R BOLES RT(R)(MR)RN (NPI 1174432991) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1174432991
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAVANNAH R BOLESCredential: RT(R)(MR)RN
Location Address403 N STATE OF FRANKLIN RDJohnson City, TN 37604-6034
Mailing Address335 Wayland DrGreeneville, TN 37743-5950 · (423) 620-8987
Phone(423) 431-7111
Sole ProprietorNo
Enumeration DateSeptember 7, 2026
NPPES CertifiedSeptember 6, 2026
✔ NPI 1174432991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
403 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Other Names 1

Other Name (5)Savannah Clark Rt(r)(mr)rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN STATES HEALTH ALLIANCE
Psychiatric Unit
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047
MR. MARC DOMINIC HARRINGTON MA, LPC
Counselor (Professional)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
CLAY BLANCHETT MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111
JEFFREY WAYNE MARGESON NP
Nurse Practitioner (Family)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7011
RODNEY A HOUGHTON MD
Psychiatry & Neurology (Psychiatry)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7013
MR. ADAM J. HORN NP
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7047
MICHAELA ANN OUTLAW
Nurse Practitioner (Psychiatric/Mental Health)
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Savannah Boles's NPI number?

The NPI number for Savannah Boles is 1174432991. It was assigned to this individual provider in the NPPES registry on September 7, 2026. The provider is also known as Savannah Clark Rt(r)(mr)rn.

Where is Savannah Boles located?

Savannah Boles practices at 403 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-7111.

What is Savannah Boles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Savannah Boles was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.