Organization
OPTIMUM FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA HENDERSON APRN (OWNER)
(904) 402-5539
Entity
Organization
Contact information
Practice address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
(904) 402-5539
Mailing address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9205601
STATE LICENSE
—
Enumeration date
10/05/2021
Last updated
10/20/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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