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

Lovelyn C Ogbennah

Individual provider Family Nurse Practitioner · NPI 1194330258

Lovelyn C Ogbennah is a Nurse Practitioner in Southfield, Michigan. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020

Practice location Address checks out

26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514
Phone: (313) 306-2023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7444 Camelot Dr, West Bloomfield, MI 48322-3133 — (313) 478-8902

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704232390 (MI)

Record details

NPI number1194330258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southfield