Quiana Lynell Stephens-mack
MSN CPNP | Nurse Practitioner
12800 Kelly Rd, St John Health Center, Rm 102b, Detroit
Michigan, 48224-1506
313-372-3826
Quiana Lynell Stephens-mack is a Detroit, Michigan based nurse practitioner. Active license number of Quiana Lynell Stephens-mack is 4704245159 for Pediatrics in Michigan. Her current practice location is 12800 Kelly Rd, St John Health Center, Rm 102b, Detroit. Patients can reach her at 313-372-3826 or can fax her at 313-372-3990. Quiana Lynell Stephens-mack is MSN CPNP and her NPI number (Unique professional ID assigned by NPPES) is 1770832966.
Quiana Lynell Stephens-mack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
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 (NP) |
| Gender: | Female |
| Credentials: | MSN CPNP |
| Practice Address: | 12800 Kelly Rd, St John Health Center, Rm 102b, Detroit,
Michigan, 48224-1506 |
| Phone: | 313-372-3826 |
| Fax: | 313-372-3990 |
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: | 12 Feb, 2019 |
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 Number | Specialization | State | Status | |
| 4704245159 | Pediatrics | Michigan | Primary | |
| 4704245159 | Nurse Practitioner | Michigan | Secondary | |
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.
| Identifier | Type | State | Issuer |
| 1164553099 | Medicaid | Michigan | |
| 5008721450 | Other | Michigan | BC 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
22475 Culpeper Dr,
Clinton Township, Michigan |
| Zip: | 48035-4245 |
| Phone Number: | 313-549-7406 |
Patients can reach Quiana Lynell Stephens-mack at
12800 Kelly Rd, St John Health Center, Rm 102b, Detroit, Michigan or can
call to book an appointment on 313-372-3826.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.