Booker, Cozzette K

Booker, Cozzette K is an individual health care provider with primary practice located at 1970 Roanoke Blvd Primary Care Clinic 1, Salem VA 24153-6404. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Booker, Cozzette K can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Primary Care Clinic 1 Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024173569 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024173569 Virginia
Nursing Service Providers / Registered Nurse 163W00000X 0001208365 Virginia

Profile Details

NPI number 1831575026
LBN Legal business name Booker, Cozzette K
Credentials PMHNP-BC, AGNP-C,
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Apr 6th, 2023 - about last year

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.

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