Individual
MRS. DONNA SHILANE OUTLAW-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PMHNP
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(803) 600-7106
(803) 610-4197
Mailing address
PO BOX 405, SANTEE, SC 29142-0405
(803) 600-7106
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
100313
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24101
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RCO171
—
SC
05
—
SCL527
—
SC
05
—
SCL572
—
SC
Enumeration date
02/07/2020
Last updated
03/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us