Quiana Lynell Stephens-mack, MSN CPNP - Nurse Practitioner in Detroit, MI

Quiana Lynell Stephens-mack, MSN CPNP is a Nurse Practitioner - Pediatrics based in Detroit, Michigan. Quiana Lynell Stephens-mack is licensed to practice in Michigan (license number 4704245159) and her current practice location is 12800 Kelly Rd, St John Health Center, Rm 102b, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 372-3826.

NPI number for Quiana Lynell Stephens-mack is 1770832966 and her current mailing address is 22475 Culpeper Dr, Clinton Township, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770832966.

Contact Information

Quiana Lynell Stephens-mack, MSN CPNP
12800 Kelly Rd, St John Health Center, Rm 102b,
Detroit, MI 48224-1506
(313) 372-3826
(313) 372-3990

Map and Direction




Provider's Profile

Full NameQuiana Lynell Stephens-mack
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location12800 Kelly Rd, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770832966
  • Provider Enumeration Date: 09/04/2012
  • Last Update Date: 02/12/2019

Medical Identifiers

Medical identifiers for Quiana Lynell Stephens-mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770832966NPI-NPPES
1164553099MedicaidMI
5008721450OtherMIBC IND PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704245159 (Michigan)Secondary
363LP0200XNurse Practitioner - Pediatrics 4704245159 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Quiana Lynell Stephens-mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Quiana Lynell Stephens-mack, MSN CPNP
22475 Culpeper Dr,
Clinton Township, MI 48035-4245

Ph: (313) 549-7406
Quiana Lynell Stephens-mack, MSN CPNP
12800 Kelly Rd, St John Health Center, Rm 102b,
Detroit, MI 48224-1506

Ph: (313) 372-3826

Reviews and Comments


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