BONITA LOUISE OUTLAND NPI 1235647751

NPI Information

NPI: 1235647751
Provider Name: BONITA LOUISE OUTLAND
Classification: Clinical Nurse Specialist - 364SC1501X
Entity Type: Individual

Specialization: Community Health/Public Health

Address:
420 MALL BLVD
SAVANNAH, GA
ZIP 31406
Phone: (912) 644-5202
Get Directions

Bonita Louise Outland is a community health/public health clinical nurse specialist in Savannah, GA. Bonita Louise Outland NPI is 1235647751. 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:

420 MALL BLVD
SAVANNAH, GA
ZIP 31406-888
Phone: (912) 644-5202

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.

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
1	163W00000X	Registered Nurse		RN097943	GEORGIA	No
2	163WC0400X	Registered Nurse	Case Management	RN097943	GEORGIA	No
3	163WL0100X	Registered Nurse	Lactation Consultant	RN097943	GEORGIA	No
4	364SC1501X	Clinical Nurse Specialist	Community Health/Public Health	RN079743	GEORGIA	Yes
5	364SW0102X	Clinical Nurse Specialist	Women's Health	RN097943	GEORGIA	No
6	171M00000X	Case Manager/Care Coordinator		RN097943	GEORGIA	No
7	174H00000X	Health Educator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN097943	OTHER	GEORGIA	NSG

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: 4/28/2024

NPI Synchronization or Removal

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