Organization
OPTIMUM HEALTHCARE ASSOCIATES, PA
Active
Other names
Optimum Healthcare Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELISA DENISE WILSON-SIMPSON PHD, FNP-BC, PNP-BC (OWNER/CEO/NP)
(601) 397-6236
Entity
Organization
Contact information
Practice address
5350 EXECUTIVE PL, SUITE 8, JACKSON, MS 39206-4100
(601) 927-1872
(949) 607-3442
Mailing address
PO BOX 1906, MADISON, MS 39130-1906
(601) 942-8447
(949) 607-3442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R784445
MS
363LP0200X
Pediatric Nurse Practitioner
R784445
MS
Other
Enumeration date
02/06/2017
Last updated
11/22/2017
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