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Quiana Lynell Stephens-mack, MSNCPNP
Pediatric Nurse Practitioner in Detroit, Michigan
NPI 1770832966

Quiana Lynell Stephens-mack is a Pediatric Nurse Practitioner based in Clinton Township, MI and is specialized in Pediatrics. Quiana Lynell Stephens-mack practices in Detroit, MI and has the professional credentials of MSNCPNP. The NPI Number for Quiana Lynell Stephens-mack is 1770832966 and holds a License No. 4704245159 (Michigan).

The current practice location address for Quiana Lynell Stephens-mack is 12800 Kelly Rd, Detroit, MI and can be reached out via phone at 313-372-3826 and via fax at 313-372-3990.

Location: 12800 Kelly Rd, Detroit, MI, 48035-4245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770832966
Provider Name
Quiana Lynell Stephens-mack
Credential
MSNCPNP
Provider Entity Type
Individual
Gender
Female
Address
12800 Kelly Rd, Detroit, MI, 48035-4245
Phone Number
313-372-3826
Fax Number
313-372-3990
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164553099 05 MI
5008721450 01 MI BC IND PIN
institution
Provider Business Practice Location Address Details
Address
12800 Kelly Rd
City
Detroit
State
Michigan
Zip
48224-1506
Phone Number
313-372-3826
Fax Number
313-372-3990
person
Provider Business Mailing Address Details
Address
12800 Kelly Rd
City
Detroit
State
Michigan
Zip
48224-1506
Phone Number
313-372-3826
Fax Number
313-372-3990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704245159 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704245159 (Michigan)
Definition
Definition to come...
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