Wellfit Medicine and Nutrition Jackson, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45520 Issued in TN

Legal business name

WELLFIT MEDICINE AND NUTRITION JACKSON, PLLC

Practice address

101 Executive Dr
Jackson, TN 38305-2318

Phone

(731) 300-3372

Fax

(731) 300-3374

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeremy M Draper, MD

Title

Owner

Phone

(731) 300-3372

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1417219189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-300-3372",
            "fax_number": "731-300-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052318",
            "telephone_number": "731-300-3372",
            "fax_number": "731-300-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFIT MEDICINE AND NUTRITION JACKSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-300-3372",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "45520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merideth Kay Weeks, APN
• Caroline Wehner
• Ronald Weiner, D.O.
• Todd Alan Welch, D.M.D.
• Edward Hunter Welles, M.D.
• Wellfit Nutrition, PLLC
• Wellness Ambulatory Care Inc. (BHG Medical Services Jackson)
• Wellness Clinic and Family Care PLLC
• Pamela A Wells, M.D.
• Ruth Lyn Wells, PHARM.D.

• Family Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.