Healthcare Provider Details

I. General information

NPI: 1336075175
Provider Name (Legal Business Name): CARLEY JANE DUHAIME DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E HOSPITAL DR
ANN ARBOR MI
48109-4000
US

IV. Provider business mailing address

26661 GRANDMONT ST
ROSEVILLE MI
48066-7121
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4704338142
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: