DERITEOUS JACKSON
NPI 1700707023
Health and Wellness Coach in Jackson, MS
About Deriteous Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERITEOUS JACKSON (NPI 1700707023) is an individual health and wellness coach provider in Jackson, Mississippi and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
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 Deriteous Jackson's NPI number?
The NPI number for Deriteous Jackson is 1700707023. It was assigned to this individual provider in the NPPES registry on July 22, 2026.
Where is Deriteous Jackson located?
Deriteous Jackson practices at 2322 Utah St, Jackson, MS 39213. The listed phone number is (601) 436-5255.
What is Deriteous Jackson's specialty?
The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.
When was this NPI record last updated?
The NPPES record for Deriteous Jackson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.