Individual provider · Type 1 NPI

Joy Alaine Kelly, AGPCNP-BC

Nurse Practitioner · Southfield, MI

NPI number 1467120113 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-5476 Map

Fax (248) 849-2413

Mailing address

3376 Hayden Ct
Tecumseh, MI 49286-7530

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704240961 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467120113

Joy Alaine Kelly, AGPCNP-BC's National Provider Identifier is 1467120113, issued on Aug 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on Apr 24, 2026.