Demetrius Stallworth
Licensed Practical Nurse • Orange Park, FL
Professional Overview & Biography Verified Profile Summary
Demetrius Stallworth is a registered healthcare professional specializing in Licensed Practical Nurse in Orange Park, FL. Practice services are available at 490 VINEYARD LN under active NPI credentials.
Practice Location & Contact Primary Location
490 Vineyard Ln
Orange Park, FL 320737678
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Orange Park, FL
Practicing in Orange Park, FL (1995 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 490 VINEYARD LN, ORANGE PARK, FL 320737678 (Tel: (904) 233-2008)
Registered at 490 VINEYARD LN, ORANGE PARK, FL 320737678 (Tel: 9042332008)
Recorded as DEMETRIUS STALLWORTH
Licensed Practical Nurse (License #PN5192381 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
490 Vineyard Ln
Orange Park, FL 320737678
Phone: 9042332008
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.