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Contact Information

MARLEE BOOTY, NP
1501 ASTON AVE
MCCOMB, MS39648-2734
 Phone: 601-249-5510
 Fax: 601-249-4242
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Oncology

261QX0200X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARLEE BOOTY · (Female)

NPI # 1306445069
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/22/2020
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 284922
  • MS License # 905595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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