Organization

Optimal Health And Wellness Clinic, Pllc

Clinic/Center in Jackson, MS(View on Map)

Legal Business Name

Optimal Health And Wellness Clinic, Pllc

NPI Number

1568100923

NPI Type

Organization

Enumeration Date

05/25/2022

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4985 SPRINGRIDGE RD
1700 UNIVERSITY BLVD STE 8

City

Raymond
Jackson

State

MS
MS

Postal Code

39154-9492
39204-3907

Country

US
US

Telephone Number

(601) 502-4245
(601) 502-4245

Authorized Official

Name

Mrs. Mackinzie Lee

Title or Position

NURSE PRACTITIONER

Telephone Number

(601) 502-4245

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/25/2022

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