STACEY NELSON LICENSED NURSE
NPI 1740546050
Licensed Practical Nurse in Detroit, MI

Q: What is Stacey Nelson's NPI number?

The NPI number for Stacey Nelson is 1740546050. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is Stacey Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Nelson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 11, 2012

2634 PEARL ST, DETROIT, MI 48209(313) 300-4691 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Stacey Nelson Licensed Nurse NPPES

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

STACEY NELSON LICENSED NURSE (NPI 1740546050) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703086453) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1740546050

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTACEY NELSONCredential: LICENSED NURSE

Location Address2634 PEARL STDetroit, MI 48209-3700

Mailing AddressPo Box 118S Rockwood, MI 48179-0118 · (248) 747-3100

Phone(313) 300-4691

Sole ProprietorYes

Enumeration DateApril 11, 2012

✔ NPI 1740546050 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 · 4703086453

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.

2634 PEARL ST, Detroit, MI 48209

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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 Stacey Nelson's NPI number?

The NPI number for Stacey Nelson is 1740546050. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Stacey Nelson located?

Stacey Nelson practices at 2634 Pearl St, Detroit, MI 48209. The listed phone number is (313) 300-4691.

What is Stacey Nelson'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 Stacey Nelson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.