WELLFIT MEDICINE AND NUTRITION JACKSON, PLLC
NPI 1417219189
Family Medicine in Jackson, TN

Active since June 08, 2012
101 EXECUTIVE DR, JACKSON, TN 38305(731) 300-3372(731) 300-3374 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellfit Medicine And Nutrition Jackson, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLFIT MEDICINE AND NUTRITION JACKSON, PLLC (NPI 1417219189) is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since June 2012. The organization lists Jeremy M Draper, Owner, as its authorized official.

NPPES Registry Identity

NPI1417219189
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLFIT MEDICINE AND NUTRITION JACKSON, PLLC
Location Address101 EXECUTIVE DRJackson, TN 38305-2318
Mailing Address101 Executive DrJackson, TN 38305-2318 · (731) 300-3372 · Fax (731) 300-3374
Fax(731) 300-3374
Organization SubpartNo
Authorized OfficialJeremy M DraperOwner · (731) 300-3372
Enumeration DateJune 8, 2012
NPI 1417219189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 45520
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 EXECUTIVE DR, Jackson, TN 38305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
101 EXECUTIVE DR
JACKSON, TN 38305
Physical Therapist
101 EXECUTIVE DR
JACKSON, TN 38305
Nurse Practitioner (Women's Health)
101 EXECUTIVE DR
JACKSON, TN 38305
Dietitian, Registered
101 EXECUTIVE DR
JACKSON, TN 38305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellfit Medicine And Nutrition Jackson, PLLC's NPI number?

The NPI number for Wellfit Medicine And Nutrition Jackson, PLLC is 1417219189. It was assigned to this organization in the NPPES registry on June 8, 2012.

Where is Wellfit Medicine And Nutrition Jackson, PLLC located?

Wellfit Medicine And Nutrition Jackson, PLLC is located at 101 Executive Dr, Jackson, TN 38305. The listed phone number is (731) 300-3372.

What is Wellfit Medicine And Nutrition Jackson, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wellfit Medicine And Nutrition Jackson, PLLC was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.