NPI 1700707023

Deriteous Jackson

Practitioner Health & Wellness Coach Jackson, MS

Practice location

Address: 2322 Utah St, Jackson, MS 39213-5411
Phone: (601) 436-5255

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Mississippi →

Registry record

NPI: 1700707023
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2026
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.