OrganizationActive
Enhanced Wellness, PLLC
NPI 1811098866 · Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1811098866
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Blanco, Clinic Admin(601) 364-1132
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1855 Lakeland Drive
Ste M20
Jackson, MS 39216
Phone: (601) 364-1132
Fax: (601) 364-1134
Approximate (ZIP-level) locationGet directions
Mailing address
1855 Lakeland Drive
Jackson, MS 39216
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2013-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.