Individual provider · Type 1 NPI
Yasming Stallworth, CRNP
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1124965363
Active
Practice location
1828 Penfield St
Philadelphia, PA 19126-1538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP035887 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124965363
Yasming Stallworth, CRNP's National Provider Identifier is 1124965363, issued on May 4, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on May 4, 2026.