Nurse Practitioner, Pediatrics
QUIANA STEPHENS-MACK MSN CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770832966 · enumerated 2012-09-04 · record updated 2025-12-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1 FORD PL STE 3A, DETROIT, MI, 48202-3450 (313) 874-4806 Google Maps Apple Maps OpenStreetMap
- Practice location 12800 KELLY RD, DETROIT, MI, 48224-1506 (313) 372-3319 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 4704245159 MI
- Nurse Practitioner 363L00000X · License 4704245159 MI
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482241506
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.