Organization · Type 2 NPI

Prolific Health & Wellness PA

Clinic/Center · Jackson, MS

NPI number 1962913541 Active

Practice location

2675 River Ridge Dr
Jackson, MS 39216-5012

Call (769) 257-0586 Map

Mailing address

605 Chickasaw Dr N
Flowood, MS 39232-8680

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1962913541

Prolific Health & Wellness PA's National Provider Identifier is 1962913541, issued on Oct 23, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jackson, MS. The record was last updated on Jan 3, 2018.