Provider Demographics
NPI:1003603655
Name:WOMEN WISE HOLISTIC HEALTHCARE AND WELLNESS LLC
Entity type:Organization
Organization Name:WOMEN WISE HOLISTIC HEALTHCARE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/FOUNDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVE
Authorized Official - Middle Name:W
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,CRNP,APNC,WHNPBC
Authorized Official - Phone:610-808-6388
Mailing Address - Street 1:7350 RIDGE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3231
Mailing Address - Country:US
Mailing Address - Phone:610-808-6388
Mailing Address - Fax:610-614-9312
Practice Address - Street 1:7350 RIDGE AVE STE A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-3231
Practice Address - Country:US
Practice Address - Phone:610-808-6388
Practice Address - Fax:610-614-9312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service