Booker, Mary Manning

Booker, Mary Manning is an individual health care provider with primary practice located at 2686 Pinnacle Dr , Southaven MS 38672-6595. She 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 her primary health care specialty. Booker, Mary Manning can be contacted via phone (662) 306-3081.

Contact Information

Primary practice address
2686 Pinnacle Dr Southaven MS 38672-6595
Phone: (662) 306-3081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R887767 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 906387 Mississippi

Profile Details

NPI number 1295596575
LBN Legal business name Booker, Mary Manning
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2024
Last updated Jan 23rd, 2024 - about 10 months 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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