Individual provider · Type 1 NPI
Thomas Stallworth, ARNP
Pediatric Nurse Practitioner · Mobile, AL
NPI number
1528486289
Active
Practice location
3980G Airport Blvd
Mobile, AL 36608-2224
Fax (251) 318-2604
Mailing address
4105 Hospital St Ste 104
Pascagoula, MS 39581-5312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 902668 (MS) |
| Pediatric Nurse Practitioner | 363LP0200X | 9331690 (FL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1-114845 (AL) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1528486289
Thomas Stallworth, ARNP's National Provider Identifier is 1528486289, issued on Mar 31, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mobile, AL. The record was last updated on Oct 19, 2021.