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

Deriteous Jackson

Individual provider Health & Wellness Coach · NPI 1700707023

Deriteous Jackson is a Health & Wellness Coach in Jackson, Mississippi. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2322 Utah St
Jackson, MS 39213-5411
Phone: (601) 436-5255
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X

Record details

NPI number1700707023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2026
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address2322 Utah St, Jackson, MS 39213-5411

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