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
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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