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Individual

JESSICA MARIE BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(314) 251-6663
Mailing address
1400 US HIGHWAY 61 STE H1521, FESTUS, MO 63028-4100
(314) 251-6663

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2008018755
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021002799
MO

Other

Enumeration date
10/08/2020
Last updated
02/11/2025
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