Organization
IMPACT HEALTH & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WHEATON FNP (PROVIDER/OWNER)
(601) 236-1800
Entity
Organization
Contact information
Practice address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
(601) 236-1800
Mailing address
39 TRYSTAN DR, PETAL, MS 39465-2806
(601) 236-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
04/07/2026
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