Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kiara Nunnally, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1861063976

Kiara Nunnally, NURSEPRACTITIONER is a Nurse Practitioner in Southfield, Michigan. Qualified in 2020, 6 years ago. Practices with Southgate Urgent Care PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34844 Lynn Dr, Romulus, MI 48174-1512 — (314) 686-5868

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704341282 (MI)

Record details

NPI number1861063976
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 9, 2021
Last updated in NPPESNovember 10, 2022
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southgate Urgent Care Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield