JENELLE KALVODA NP NPI 1548795800

NPI Information

  • NPI: 1548795800
  • Provider Name: JENELLE KALVODA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12851 GRAND RIVER RD
    BRIGHTON, MI
    ZIP 48116
  • Phone: (877) 976-2371

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NPI Details

Jenelle Kalvoda, NP is a family nurse practitioner in Brighton, MI with 10 years of experience. Jenelle Kalvoda, NP NPI is 1548795800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12851 GRAND RIVER RD
BRIGHTON, MI
ZIP 48116-506
Phone: (877) 976-2371

The NPI 1548795800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2017 and was last updated on 2/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704259852MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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