SearchMichigan363LP0200X

Quiana Stephens-Mack, MSN CPNP

NPI 1770832966 · on the registry since 2012

Practice

Address
12800 Kelly Rd
Detroit, MI 48224
Phone
(313) 372-3319
Clinicians at this address
2

Additional practice sites

  • 12800 Kelly Rd, Detroit, MI

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Also registered as
363L00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan