Quiana Lynell Stephens-mack

MSN CPNP | Nurse Practitioner - Pediatrics

12800 Kelly Rd, Detroit
  Michigan, 48224-1506
313-372-3319
May or may not accept Medicare Nurse Practitioner in Detroit, Michigan.
Quiana Lynell Stephens-mack is a Detroit, Michigan based nurse practitioner who is specialized as Pediatrics NP. Active license number of Quiana Lynell Stephens-mack is 4704245159 for Pediatrics NP in Michigan. Her current practice location is 12800 Kelly Rd, Detroit. Patients can reach her at 313-372-3319. Quiana Lynell Stephens-mack is MSN CPNP with specialization in Pediatrics NP and her NPI number (Unique professional ID assigned by NPPES) is 1770832966.
Quiana Lynell Stephens-mack specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Quiana Lynell Stephens-mack speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Quiana Lynell Stephens-mack
Specialization: Nurse Practitioner - Pediatrics (PNP)
Gender:Female
Credentials: MSN CPNP
Practice Address:12800 Kelly Rd, Detroit,
Michigan, 48224-1506
Phone:313-372-3319
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1770832966
NPI Enumeration Date: 04 Sep, 2012
NPI Last Update On: 10 Dec, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Quiana Lynell Stephens-mack are as mentioned below.
License NumberSpecializationStateStatus
4704245159Pediatrics NP MichiganPrimary
4704245159Nurse Practitioner MichiganSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Quiana Lynell Stephens-mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1164553099MedicaidMichigan
5008721450OtherMichiganBC IND PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Quiana Lynell Stephens-mack
1 Ford Pl Ste 3a,
Detroit, Michigan
Zip: 48202-3450
Phone Number: 313-874-4806
Patients can reach Quiana Lynell Stephens-mack at 12800 Kelly Rd, Detroit, Michigan or can call to book an appointment on 313-372-3319.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.