NPI 1003459595

Desiree Patience Nicole Chupp

Practitioner Social Worker Booneville, MS

Practice location

Address: 609 E Church St, Booneville, MS 38829-3711
Phone: (662) 728-2488
Mailing address: 860 E River Pl, Jackson, MS 39202-3442

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Mississippi →

Registry record

NPI: 1003459595
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2019
Record last updated: 28 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.