JESSICA MARIE BOOKER NPI 1619574936

NPI Information

NPI: 1619574936
Provider Name: JESSICA MARIE BOOKER
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6403 STAR BUCK DR
O FALLON, MO
ZIP 63368
Phone: (314) 229-9224
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Jessica Marie Booker is a psychiatric/mental health nurse practitioner in O Fallon, MO with 4 years of experience. Jessica Marie Booker NPI is 1619574936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

6403 STAR BUCK DR
O FALLON, MO
ZIP 63368-836
Phone: (314) 229-9224

The NPI 1619574936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 2/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	2008018755	MISSOURI	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2021002799	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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