# WELLFIT MEDICINE AND NUTRITION JACKSON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417219189
- **Authorized official:** JEREMY M DRAPER MD (OWNER)
- **Authorized official phone:** (731) 300-3372

## Contact information

- **Practice address:** 101 EXECUTIVE DR, JACKSON, TN 38305-2318
- **Practice address phone:** (731) 300-3372
- **Practice address fax:** (731) 300-3374
- **Mailing address:** 101 EXECUTIVE DR, JACKSON, TN 38305-2318
- **Mailing address phone:** (731) 300-3372
- **Mailing address fax:** (731) 300-3374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45520 | TN | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 06/08/2012