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

Stephanie Rose Mitchell

Individual provider Licensed Practical Nurse · NPI 1053187823

Stephanie Rose Mitchell is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-4243
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 4703117996 (MI)

Record details

NPI number1053187823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2023
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

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