Provider Demographics
NPI:1467551523
Name:OUTLAND, PATRICIA JOYCE (APRN NPSYCH PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JOYCE
Last Name:OUTLAND
Suffix:
Gender:F
Credentials:APRN NPSYCH PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 CHESTNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607
Mailing Address - Country:US
Mailing Address - Phone:828-262-8572
Mailing Address - Fax:
Practice Address - Street 1:381 DEERFIELD RD
Practice Address - Street 2:TOTAL HEALTH INTEGRATED SERVICES
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607
Practice Address - Country:US
Practice Address - Phone:828-262-3733
Practice Address - Fax:828-264-7799
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95006363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health