Bonita Louise Outland, is a
Clinical Nurse Specialist - Community Health/public Health based in Savannah, Georgia. Bonita Louise Outland is licensed to practice in Georgia (license number RN079743) and her current practice location is
420 Mall Blvd, Savannah, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 644-5202.
NPI number for Bonita Louise Outland is 1235647751 and her current mailing address is 420 Mall Blvd, Savannah, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235647751.
Provider's Profile
| Full Name | Bonita Louise Outland |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Community Health/public Health |
|---|
| Location | 420 Mall Blvd, Savannah, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235647751
- Provider Enumeration Date: 01/18/2018
- Last Update Date: 01/18/2018
Medical Identifiers
Medical identifiers for Bonita Louise Outland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235647751 | NPI | - | NPPES |
| RN097943 | Other | GA | NSG |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN097943 (Georgia) | Secondary |
| 163WC0400X | Registered Nurse - Case Management | RN097943 (Georgia) | Secondary |
| 163WL0100X | Registered Nurse - Lactation Consultant | RN097943 (Georgia) | Secondary |
| 171M00000X | Case Manager/care Coordinator | RN097943 (Georgia) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 364SW0102X | Clinical Nurse Specialist - Women's Health | RN097943 (Georgia) | Secondary |
| 364SC1501X | Clinical Nurse Specialist - Community Health/public Health | RN079743 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonita Louise Outland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bonita Louise Outland,
420 Mall Blvd,
Savannah, GA 31406-4888
Ph: (912) 644-5202 | Bonita Louise Outland,
420 Mall Blvd,
Savannah, GA 31406-4888
Ph: (912) 644-5202 |
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