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Indianola Wellness Clinic, LLC

Primary Care Clinic/Center in Indianola, MS · enumerated 2017 · authorized official Kajuandra Chandler, Manager/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508393000

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Registry record

Entity type Organization (Type 2)
Legal business name Indianola Wellness Clinic, LLC
Practice address 131 Main St, Indianola, MS, 38751
Enumeration date May 15, 2017
Last updated in NPPES Jun 16, 2018

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 901379 (MS) Primary

Authorized official

Name Kajuandra Chandler
Title Manager/Owner

Other identifiers

Identifier Type State Issuer
03321871 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Indianola Wellness Clinic, LLC?
The NPI for Indianola Wellness Clinic, LLC is 1508393000, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Indianola Wellness Clinic, LLC?
NPPES lists Kajuandra Chandler (Manager/Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-16.