SHAHEEDAH BOLES NPI 1225381684

NPI Information

  • NPI: 1225381684
  • Provider Name: SHAHEEDAH BOLES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 785 KING GEORGE BLVD
    SUITE 101
    SAVANNAH, GA
    ZIP 31419
  • Phone: (912) 318-8764

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NPI Details

Shaheedah Boles is a psychiatric/mental health nurse practitioner in Savannah, GA. Shaheedah Boles NPI is 1225381684. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

785 KING GEORGE BLVD
SUITE 101
SAVANNAH, GA
ZIP 31419-501
Phone: (912) 318-8764

The NPI 1225381684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2012 and was last updated on 1/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN151817GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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