NPI 1508470121

Hannah Olivia Booker

Practitioner Peer Specialist Pascagoula, MS

Practice location

Address: 4905 Telephone Rd, Pascagoula, MS 39567-1823
Phone: (228) 769-1280
Mailing address: 3407 Shamrock CT, Gautier, MS 39553-5337

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1508470121
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2020
Record last updated: 1 Sep 2020

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.