Demetrius Stallworth - Orange Park, FL

Demetrius Stallworth

Licensed Practical Nurse in Orange Park, Florida

NPI 1629506274

Demetrius Stallworth is a Licensed Practical Nurse based in Orange Park, FL. Demetrius Stallworth practices in Orange Park, FL. The NPI Number for Demetrius Stallworth is 1629506274 and holds a License No. PN5192381 (Florida).

The current practice location address for Demetrius Stallworth is 490 Vineyard Ln, Orange Park, FL and can be reached out via phone at 904-233-2008.

Location: 490 Vineyard Ln, Orange Park, FL, 32073-7678

NPI Number

1629506274

Provider Name

Demetrius Stallworth

Credential

Provider Entity Type

Individual

Gender

Female

Address

490 Vineyard Ln, Orange Park, FL, 32073-7678

Phone Number

904-233-2008

Fax Number

Provider Enumeration Date

05/26/2017

Last Update Date

03/09/2024

Address

490 Vineyard Ln

City

Orange Park

State

Florida

Zip

32073-7678

Phone Number

904-233-2008

Fax Number

Address

490 Vineyard Ln

City

Orange Park

State

Florida

Zip

32073-7678

Phone Number

904-233-2008

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

PN5192381 (Florida)

Definition

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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