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

Wellfit Medicine and Nutrition Jackson, PLLC

Organization Family Medicine Physician · NPI 1417219189

Wellfit Medicine and Nutrition Jackson, PLLC is a Family Medicine Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Executive Dr
Jackson, TN 38305-2318
Phone: (731) 300-3372
Fax: (731) 300-3374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45520 (TN)

Record details

NPI number1417219189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Draper — Owner · (731) 300-3372
NPI enumeratedJune 8, 2012
Last updated in NPPESJune 8, 2012
Mailing address101 Executive Dr, Jackson, TN 38305-2318

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