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Bonita Louise Outland

Clinical Nurse Specialist, Community Health/Public Health in Savannah, GA. Individual provider (NPI-1).

NPI number1235647751
StatusActive
Last updated in NPPESJan 18, 2018

Details

NPI
1235647751
Entity type
Individual (NPI-1)
Name
Bonita Louise Outland
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2018
Last updated
Jan 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SC1501X Clinical Nurse Specialist, Community Health/Public HealthRN079743GAYes
163W00000X Registered NurseRN097943GA
163WC0400X Registered Nurse, Case ManagementRN097943GA
163WL0100X Registered Nurse, Lactation ConsultantRN097943GA
171M00000X Case Manager/Care CoordinatorRN097943GA
174H00000X Health Educator––
364SW0102X Clinical Nurse Specialist, Women's HealthRN097943GA

Practice location

420 Mall Blvd
Savannah, GA 31406-4888

Phone 912-644-5202

Mailing address

420 Mall Blvd
Savannah, GA 31406-4888

Phone 912-644-5202

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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