Individual provider · Type 1 NPI

Stacee Jevana Moss, LPN

Licensed Practical Nurse · Detroit, MI

NPI number 1659082808 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 576-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703123046 (MI)

Licensed Practical Nurse: An individual 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.

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About NPI 1659082808

Stacee Jevana Moss, LPN's National Provider Identifier is 1659082808, issued on Dec 8, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 8, 2022.