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

Stacey Nelson, LICENSEDNURSE

Individual provider Licensed Practical Nurse · NPI 1740546050

Stacey Nelson, LICENSEDNURSE is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

2634 Pearl St
Detroit, MI 48209-3700
Phone: (313) 300-4691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703086453 (MI)

Record details

NPI number1740546050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDNURSE
Sole proprietorYes
NPI enumeratedApril 11, 2012
Last updated in NPPESApril 11, 2012

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