OrganizationActive
Elan Vitale Healthy Living Solutions
NPI 1982107140 · Nurse Practitioner · Dearborn Hts, MI
Provider details
- NPI number
- 1982107140
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jackie Duncan, Nurse Practitioner(248) 667-2531
- License
- 4704170920 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
27247 Joy Rd
Dearborn Hts, MI 48127-1022
Phone: (248) 667-6307
Street-level locationGet directions
Mailing address
27247 Joy Rd
Dearborn Hts, MI 48127-1022
Registry dates
- Enumerated
- 2018-03-14
- Last updated
- 2018-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.