Doctor profile · Federal record
Dr. Quiana Stephens-Mack, MSN CPNP
Pediatric Nurse Practitioner · Nurse Practitioner · Detroit, MI
- NPI 1770832966
- 14 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12800 Kelly RD
Detroit, MI 482241506
(313) 372-3319 - Mailing address
-
1 Ford Pl Ste 3A
Detroit, MI 482023450
Credentials & registration
- NPI registered
- September 2012 — 14 yrs on file
- Profile last updated
- December 10, 2025
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Michigan #4704245159
- Medicaid
- MI #1164553099
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770832966. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $18.52 |
By nature of payment
Frequently asked questions
What is Dr. Quiana Stephens-Mack's medical specialty?
Dr. Quiana Stephens-Mack practices Pediatric Nurse Practitioner in Detroit, MI.
Where does Dr. Quiana Stephens-Mack practice?
Dr. Quiana Stephens-Mack practices at 12800 Kelly RD, Detroit, MI 482241506. Office phone: 3133723319.
What is Dr. Quiana Stephens-Mack's NPI?
Dr. Quiana Stephens-Mack's National Provider Identifier (NPI) is 1770832966, issued by NPPES.