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

Graceful Wellness LLC

Organization Family Nurse Practitioner · NPI 1952106882

Graceful Wellness LLC is a Family Nurse Practitioner in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2616 Southerland St Ste 100
Jackson, MS 39216-4855
Phone: (601) 953-1504
Fax: (601) 866-1674
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1952106882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deidra Thompson — Managing Member · (601) 953-1504
NPI enumeratedFebruary 14, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1783 Jones Loop, Terry, MS 39170-9013

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