DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OPTIMAL EDGE NUTRITION BY JACKIE LLC

Active Organization

OPTIMAL EDGE NUTRITION BY JACKIE LLC is a Registered Dietitian organization located in GLENMOORE, Pennsylvania. NPI 1811860299 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · GLENMOORE, PA

Registration Details

NPI Number
1811860299
Provider Type
Organization
NPI Issued
Sep 24, 2025 (0.90225928982109 yrs)
Last Updated
Sep 24, 2025

Practice Information

Address
275 STYER RD
GLENMOORE, PA, 193432011
Browse PA providers · Browse ZIP 19343
Phone
4848891028
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.