MARY MANNING BOOKER PMHNP-BC
NPI 1295596575
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Active since January 23, 2024
2686 PINNACLE DR, SOUTHAVEN, MS 38672(662) 306-3081 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Manning Booker Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MANNING BOOKER PMHNP-BC (NPI 1295596575) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (906387) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1295596575
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY MANNING BOOKERCredential: PMHNP-BC
Location Address2686 PINNACLE DRSouthaven, MS 38672-6595
Mailing Address2686 Pinnacle DrSouthaven, MS 38672-6595 · (662) 306-3081
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1295596575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · 906387
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License R887767 (MS)
2686 PINNACLE DR, Southaven, MS 38672

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Care
2686 PINNACLE DR
SOUTHAVEN, MS 38672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Booker's NPI number?

The NPI number for Mary Booker is 1295596575. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Mary Booker located?

Mary Booker practices at 2686 Pinnacle Dr, Southaven, MS 38672. The listed phone number is (662) 306-3081.

What is Mary Booker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Booker was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.