Healthcare Provider Details

I. General information

NPI: 1003603655
Provider Name (Legal Business Name): WOMEN WISE HOLISTIC HEALTHCARE AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 RIDGE AVE STE A
PHILADELPHIA PA
19128-3231
US

IV. Provider business mailing address

7350 RIDGE AVE STE A
PHILADELPHIA PA
19128-3231
US

V. Phone/Fax

Practice location:
  • Phone: 610-808-6388
  • Fax: 610-614-9312
Mailing address:
  • Phone: 610-808-6388
  • Fax: 610-614-9312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. EVE W. JACOBS
Title or Position: NURSE PRACTITIONER/FOUNDER/OWNER
Credential: MSN, CRNP, WHNP-BC
Phone: 610-808-6388