Individual provider · Type 1 NPI
Mary Manning Booker, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Southaven, MS
NPI number
1295596575
Active
Practice location
2686 Pinnacle Dr
Southaven, MS 38672-6595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R887767 (MS) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906387 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1295596575
Mary Manning Booker, PMHNP-BC's National Provider Identifier is 1295596575, issued on Jan 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southaven, MS. The record was last updated on Jan 23, 2024.