Healthcare Provider Details

I. General information

NPI: 1437068871
Provider Name (Legal Business Name): JOYFUL CLINICS MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11844 STANDING STONE DR
GRETNA NE
68028-8110
US

IV. Provider business mailing address

102 S UNION ST
ALEXANDRIA VA
22314-3324
US

V. Phone/Fax

Practice location:
  • Phone: 402-800-8595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DOUG ELWOOD
Title or Position: OWNER
Credential:
Phone: 347-218-0393