Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marlee Booty, NP

Individual provider Registered Nurse · NPI 1306445069

Marlee Booty, NP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Mississippi.

Years since qualifying
4
Licensed in
GA, MS
In the registry since
2020
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1501 Aston Ave
McComb, MS 39648-2734
Phone: (601) 249-5510
Fax: (601) 249-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Marion Ave, McComb, MS 39648-2705 — (601) 249-5510

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 905595 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 284922 (GA)
Oncology Clinic/Center Taxonomy 261QX0200X · Licence 905595 (MS)

Record details

NPI number1306445069
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address1592 P P Wilson Rd, Osyka, MS 39657-8162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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