Organization · Type 2 NPI

Impact Health & Wellness Clinic

Family Nurse Practitioner · Ridgeland, MS

NPI number 1851255962 Active

Practice location

270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810

Mailing address

39 Trystan Dr
Petal, MS 39465-2806

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

26 other providers at this address

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About NPI 1851255962

Impact Health & Wellness Clinic's National Provider Identifier is 1851255962, issued on Dec 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgeland, MS. The record was last updated on Apr 7, 2026.