OrganizationActive
Indianola Wellness Clinic, LLC
NPI 1508393000 · Primary Care Clinic/Center · Indianola, MS
Provider details
- NPI number
- 1508393000
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kajuandra Chandler, Manager/Owner(662) 303-3743
- License
- 901379 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
131 Main St
Indianola, MS 38751-2849
Phone: (662) 303-3743
Approximate (ZIP-level) locationGet directions
Mailing address
108 Whittington Dr
Indianola, MS 38751-3434
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.