# COZZETTE K BOOKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831575026
- **Gender:** F
- **Credential:** PMHNP-BC, AGNP-C,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001208365 | VA | — |
| 363LA2200X | Adult Health Nurse Practitioner | 0024173569 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024173569 | VA | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 04/06/2023
