CARLY AUTUMN KRISNISKI
NPI 1184540304
Nurse Practitioner - Psychiatric/Mental Health in Savannah, GA
Active since June 24, 2026
About Carly Autumn Krisniski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY AUTUMN KRISNISKI (NPI 1184540304) is an individual psychiatric/mental health provider in Savannah, Georgia, licensed in Georgia (RN307130) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1184540304
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARLY AUTUMN KRISNISKI
Location Address5670 OGEECHEE RD APT 14108Savannah, GA 31405-9606
Mailing Address5670 Ogeechee Rd Apt 14108Savannah, GA 31405-9606 · (302) 299-9150
Phone(302) 299-9150
Sole ProprietorYes
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1184540304 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN307130
5670 OGEECHEE RD APT 14108, Savannah, GA 31405
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184540304, enumerated as an "individual" on June 24, 2026.
The provider is located at 5670 OGEECHEE RD APT 14108 SAVANNAH, GA 31405 and the phone number is (302) 299-9150.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
