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STACEE JEVANA MOSS LPN
NPI 1659082808
Licensed Practical Nurse in Detroit, MI

Active since December 08, 2022
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacee Jevana Moss Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEE JEVANA MOSS LPN (NPI 1659082808) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703123046) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1659082808
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEE JEVANA MOSSCredential: LPN
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916
Phone(313) 576-1000
Sole ProprietorNo
Enumeration DateDecember 8, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1659082808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703123046
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacee Moss's NPI number?

The NPI number for Stacee Moss is 1659082808. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Stacee Moss located?

Stacee Moss practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Stacee Moss's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacee Moss was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.