Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Samantha Michelle Stack

Individual provider Licensed Practical Nurse · NPI 1841602166

MS. Samantha Michelle Stack is a Licensed Practical Nurse in Flint, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1044 Gilbert St
Flint, MI 48532-3527
Phone: (810) 422-7623
Fax: (810) 733-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4703119950 (MI)

Record details

NPI number1841602166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2014
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address500 Hancock St, Saginaw, MI 48602-4224

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