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

Prolific Health & Wellness PA

Organization Clinic/Center · NPI 1962913541

Prolific Health & Wellness PA is a Clinic/Center in Jackson, Mississippi. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2675 River Ridge Dr
Jackson, MS 39216-5012
Phone: (769) 257-0586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1962913541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Smash — Founder · (769) 257-0586
NPI enumeratedOctober 23, 2017
Last updated in NPPESJanuary 3, 2018
Mailing address605 Chickasaw Dr N, Flowood, MS 39232-8680

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