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

Wayne Jolly, PA-C

Individual provider Physician Assistant · NPI 1679693436

Wayne Jolly, PA-C is a Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4100 John R St Karmanos Cancer Ctr
Detroit, MI 48201-2013
Phone: (800) 527-6266
Fax: (313) 576-8381
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601001710 (MI)

Record details

NPI number1679693436
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESOctober 25, 2016

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