Stephens-Mack, Quiana Lynell

Stephens-Mack, Quiana Lynell is an individual health care provider with primary practice located at 12800 Kelly Rd , Detroit MI 48224-1506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Stephens-Mack, Quiana Lynell can be contacted via phone (313) 372-3319.

Contact Information

Primary practice address
12800 Kelly Rd Detroit MI 48224-1506
Phone: (313) 372-3319
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704245159 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704245159 Michigan

Profile Details

NPI number 1770832966
LBN Legal business name Stephens-Mack, Quiana Lynell
Credentials MSN CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Dec 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770832966 NPPES
Michigan MEDICAID 1164553099
Michigan Other 5008721450

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