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Clinton Wellness Center LLC

Family Medicine Physician in Jackson, MS · enumerated 2012 · authorized official Shinita Dudley, Physician.

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

National Provider Identifier

1710231576

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Registry record

Entity type Organization (Type 2)
Legal business name Clinton Wellness Center LLC
Other name <Unavail>
Practice address 514 E Woodrow Wilson Ave, Suite C, Jackson, MS, 39216
Phone (601) 714-8180
Fax (601) 922-9900
Enumeration date Nov 1, 2012
Last updated in NPPES Nov 1, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 18239 (MS) Primary

Authorized official

Name Shinita Dudley
Title Physician
Phone (601) 714-8180

Other identifiers

Identifier Type State Issuer
07033864 Medicaid MS -
512I080023 Other MS MISSISSIPPI MEDICARE NUMBER
1413306 Other TN BCBS OF TENN
587159423I Other MS BCBS

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 Clinton Wellness Center LLC?
The NPI for Clinton Wellness Center LLC is 1710231576, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clinton Wellness Center LLC?
NPPES lists Shinita Dudley (Physician) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-01.