Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wellfit Medicine and Nutrition Jackson, PLLC

Organization Family Medicine Physician · NPI 1417219189

Wellfit Medicine and Nutrition Jackson, PLLC provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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