Quiana Stephens-Mack, MSN CPNP

Individual Active
NPI 1770832966
Pediatric Nurse Practitioner Detroit, MI

NPI 1770832966 belongs to Quiana Stephens-Mack, MSN CPNP, a pediatric nurse practitioner with a practice location in Detroit, MI. The NPI was issued on September 4, 2012, and the record was last updated in NPPES on December 10, 2025. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 4704245159 (MI)
Nurse Practitioner 363L00000X 4704245159 (MI)

Practice locations

12800 Kelly Rd
Detroit, MI 48224-1506
Phone: (313) 372-3319
12800 Kelly Rd
St John Health Center, rm 102b
Detroit, MI 48224-1506
Phone: (313) 372-3826

Local context

Active NPPES records list 206 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 104 of them within 10 miles.

The same primary taxonomy is listed by 537 in Michigan and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Quiana Lynell Stephens-Mack
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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