Provider Demographics
NPI:1942960836
Name:HOOKER, BRITTAINEY MONIQUE
Entity Type:Individual
Prefix:
First Name:BRITTAINEY
Middle Name:MONIQUE
Last Name:HOOKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:PRENTISS
Mailing Address - State:MS
Mailing Address - Zip Code:39474-0948
Mailing Address - Country:US
Mailing Address - Phone:601-522-8416
Mailing Address - Fax:601-792-9373
Practice Address - Street 1:1126 FRED ST SUITE C
Practice Address - Street 2:
Practice Address - City:PRENTISS
Practice Address - State:MS
Practice Address - Zip Code:39474-0948
Practice Address - Country:US
Practice Address - Phone:601-522-8416
Practice Address - Fax:601-792-9373
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker