Organization · Type 2 NPI
Optimum Healthcare Associates, PA
Family Nurse Practitioner · Jackson, MS
NPI number
1891233276
Active
Practice location
5350 Executive Pl, Suite 8
Jackson, MS 39206-4100
Fax (949) 607-3442
Mailing address
PO Box 1906
Madison, MS 39130-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R784445 (MS) |
| Pediatric Nurse Practitioner | 363LP0200X | R784445 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891233276
Optimum Healthcare Associates, PA's National Provider Identifier is 1891233276, issued on Feb 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Nov 22, 2017.