DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEMETRIUS STALLWORTH

Active

DEMETRIUS STALLWORTH is a Licensed Practical Nurse healthcare provider located in ORANGE PARK, Florida. NPI 1629506274 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ORANGE PARK, FL

Registration Details

NPI Number
1629506274
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2017 (9.1783463113192 yrs)
Last Updated
Jul 21, 2022
License
PN5192381 (FL)

Practice Information

Address
490 VINEYARD LN
ORANGE PARK, FL, 320737678
Browse FL providers · Browse ZIP 32073
Phone
9042332008
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ORANGE PARK, FL

Name Credential NPI
MS. GLORIA LORAINE WASHINGTON LPN 1144277138
MS. TOSHA MARIE DEVLIN LPN 1417112269
BARBARA EUGENE 1699061093
MS. KEZIAH E MATHESON-LINDNAL L.P.N. 1417239898
MARSHELL DEAL 1447795497
MARISHIA MERRIWEATHER LPN 1003316209
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.