Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fitness Clinic Wellness

Organization Clinical Psychologist · NPI 1912352022

Fitness Clinic Wellness is a Clinical Psychologist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
Specialties on file
3

Practice location Address checks out

2219 Greenway Dr
Jackson, MS 39204-3202
Phone: (601) 983-7494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Clinical Psychologist Taxonomy 103TC0700X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 871546 (MS)

Record details

NPI number1912352022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Broadwater — Executive Director · (601) 983-7494
NPI enumeratedApril 26, 2016
Last updated in NPPESFebruary 9, 2017
Mailing address2219 Greenway Dr, Jackson, MS 39204-3202

Other providers in Jackson