Booker, Jessica Marie

Booker, Jessica Marie is an individual health care provider with primary practice located at 6403 Star Buck Dr , O Fallon MO 63368-7836. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Booker, Jessica Marie can be contacted via phone (314) 229-9224.

Contact Information

Primary practice address
6403 Star Buck Dr O Fallon MO 63368-7836
Phone: (314) 229-9224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 2008018755 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2021002799 Missouri

Profile Details

NPI number 1619574936
LBN Legal business name Booker, Jessica Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2020
Last updated Feb 16th, 2021 - about 4 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.

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