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Organization
OPTIMUM HEALTH SOLUTIONS
Active
Organization
OPTIMUM HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INAISHA MARIE JACKSON CRNP (CEO)
(610) 304-3266
Entity
Organization
Contact information
Practice address
5925 HAVERFORD AVE, PHILADELPHIA, PA 19151-4407
(610) 304-3266
Mailing address
5925 HAVERFORD AVE, PHILADELPHIA, PA 19151-4407
(610) 304-3266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
Other
Enumeration date
10/23/2023
Last updated
10/24/2023
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