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Organization
OPTIMAL HEALTH AND WELLNESS CLINIC, PLLC
Active
Organization
OPTIMAL HEALTH AND WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MACKINZIE LEE NP (NURSE PRACTITIONER)
(601) 502-4245
Entity
Organization
Contact information
Practice address
1700 UNIVERSITY BLVD STE 8, JACKSON, MS 39204-3907
(601) 502-4245
Mailing address
4985 SPRINGRIDGE RD, RAYMOND, MS 39154-9492
(601) 502-4245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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