# IMPACT HEALTH & WELLNESS CLINIC

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

## Provider details

- **NPI number:** 1851255962
- **Authorized official:** MELISSA WHEATON FNP (PROVIDER/OWNER)
- **Authorized official phone:** (601) 236-1800

## Contact information

- **Practice address:** 270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
- **Practice address phone:** (601) 236-1800
- **Mailing address:** 39 TRYSTAN DR, PETAL, MS 39465-2806
- **Mailing address phone:** (601) 236-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 04/07/2026