Desiree Patience Nicole Chupp
Social Worker
609 E Church St
Booneville
, Mississippi 38829-3711
Desiree Patience Nicole Chupp
Social Worker
609 E Church St
Booneville
, Mississippi 38829-3711
(769) 251-5550
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Desiree Patience Nicole Chupp
- 860 E River Pl
- Jackson, MS
- Zip : 39202-3442
- Phone : (769) 251-5550
Second Address
- Desiree Patience Nicole Chupp
- 609 E Church St
- Booneville, MS
- Zip : 38829-3711
- Phone : (662) 728-2488
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Is Desiree Patience Nicole Chupp a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003459595 |
|---|---|
| Provider Name | Desiree Patience Nicole Chupp |
| First Address | Jackson, MS 39202-3442 |
| Second Address | Booneville, MS 38829-3711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2019 |
| Last Update Date | 28/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.