Healthcare Provider Details

I. General information

NPI: 1679947675
Provider Name (Legal Business Name): JOELLE GELMANN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2015
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23077 GREENFIELD RD STE 234
SOUTHFIELD MI
48075-3722
US

IV. Provider business mailing address

4200 FASHION SQUARE BLVD STE 201
SAGINAW MI
48603-1375
US

V. Phone/Fax

Practice location:
  • Phone: 877-316-8773
  • Fax: 646-904-8926
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704371867
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024174656
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61108069
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: