Individual provider · Type 1 NPI
Madison Stalls, DNP
Family Nurse Practitioner · Fruit Cove, FL
NPI number
1194554089
Active
Practice location
108 Bartram Oaks Walk Ste 201
Fruit Cove, FL 32259-3246
Mailing address
4040 Julington Creek Rd
Jacksonville, FL 32223-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11033471 (FL) |
Family Nurse Practitioner: Definition to come...
About NPI 1194554089
Madison Stalls, DNP's National Provider Identifier is 1194554089, issued on Jul 29, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fruit Cove, FL. The record was last updated on Jul 29, 2024.