Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katrina Ivory, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063362853

Katrina Ivory, PMHNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2025, 1 year ago. Licensed in Michigan and Ohio.

Years since qualifying
1
Licensed in
MI, OH
In the registry since
2026
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

11000 W McNichols Rd Ste 3231029
Detroit, MI 48221-2357
Phone: (313) 649-5188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704377051 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0041323 (OH)

Record details

NPI number1063362853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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