IndividualActive
Abdulla Aljabaly, NP
NPI 1164174116 · Family Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1164174116
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 4704350170 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2799 W Grand Blvd # K13
Detroit, MI 48202-2608
Phone: (313) 982-8057
Street-level locationGet directions
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Additional practice locations (3)
- 19401 Hubbard DrDearborn, MI 48126-2699Phone: (313) 982-8261
- 39450 W Twelve Mile RdNovi, MI 48377-3600Phone: (248) 344-6688
- 24555 Haig StTaylor, MI 48180-3322Phone: (313) 375-2063
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.