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Demetrius Stallworth
NPI 1629506274 · Licensed Practical Nurse · Orange Park, FL
Demetrius Stallworth is a Licensed Practical Nurse provider in Orange Park, FL (NPI 1629506274).
Provider details
- NPI number
- 1629506274
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PN5192381 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
490 Vineyard Ln
Orange Park, FL 32073-7678
Phone: (904) 233-2008
Street-level locationGet directions
Mailing address
490 Vineyard Ln
Orange Park, FL 32073-7678
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2022-07-21
Frequently asked questions
- What is Demetrius Stallworth's NPI number?
- Demetrius Stallworth's National Provider Identifier (NPI) is 1629506274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Demetrius Stallworth's specialty?
- Demetrius Stallworth is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Demetrius Stallworth located?
- Demetrius Stallworth's practice location on file with NPPES is 490 Vineyard Ln, Orange Park, FL 32073-7678.
- What is Demetrius Stallworth's phone number?
- The practice phone number listed in the NPPES registry for Demetrius Stallworth is (904) 233-2008.
- Is Demetrius Stallworth's NPI active?
- Yes — Demetrius Stallworth's NPI (1629506274) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.