Provider Demographics
NPI:1366789513
Name:BOOKER, JESSICA KAREN (PHD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:KAREN
Last Name:BOOKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:301 BRINKHOUS BULLITT BUILDING
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7525
Mailing Address - Country:US
Mailing Address - Phone:919-966-7894
Mailing Address - Fax:919-966-6351
Practice Address - Street 1:301 BRINKHOUS BULLITT BUILDING
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7525
Practice Address - Country:US
Practice Address - Phone:919-966-7894
Practice Address - Fax:919-966-6351
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician