Organization
NURSEPLUGCONNECT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BOOKER REGISTERED NURSE (CNO)
(662) 306-3081
Entity
Organization
Contact information
Practice address
2686 PINNACLE DR, SOUTHAVEN, MS 38672-6595
(662) 306-3081
Mailing address
2686 PINNACLE DR, SOUTHAVEN, MS 38672-6595
(662) 306-3081
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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