Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Wellness Center LLC

Organization Family Medicine Physician · NPI 1710231576

Clinton Wellness Center LLC is a Family Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

514 E Woodrow Wilson Ave Ste C
Jackson, MS 39216-4538
Phone: (601) 714-8180
Fax: (601) 922-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18239 (MS)

Record details

NPI number1710231576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shinita Dudley — Physician · (601) 714-8180
Other names Icare
NPI enumeratedNovember 1, 2012
Last updated in NPPESNovember 1, 2012
Mailing address514 E Woodrow Wilson Ave, Suite C, Jackson, MS 39216-4538

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