Outlaw-Thomas, Donna Shilane

Outlaw-Thomas, Donna Shilane is an sole proprietor health care provider with primary practice located at 41 Park Creek Dr , Greenville SC 29605-4270. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Outlaw-Thomas, Donna Shilane can be contacted via phone (803) 600-7106.

Contact Information

Primary practice address
41 Park Creek Dr Greenville SC 29605-4270
Phone: (803) 600-7106
Fax: (803) 610-4197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 100313 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 363LP0808X South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 24101 South Carolina

Profile Details

NPI number 1093347973
LBN Legal business name Outlaw-Thomas, Donna Shilane
Credentials APRN-PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2020
Last updated Mar 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093347973 NPPES
South Carolina MEDICAID SCL527
South Carolina MEDICAID SCL572
South Carolina MEDICAID RCO171

Popular Providers