Organization
OPTIMUM HEALTH SOLUTIONS
Active
Other names
Optimum Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
INAISHA MARIE JACKSON CRNP (CEO)
(215) 258-4539
Entity
Organization
Contact information
Practice address
5925 HAVERFORD AVE, PHILADELPHIA, PA 19151-4407
(215) 258-4539
Mailing address
502 W 7TH ST STE 100, ERIE, PA 16502-1333
(215) 258-4539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
12/03/2023
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