Individual provider · Type 1 NPI

Chevon Stallworth

Licensed Practical Nurse · Ocoee, FL

NPI number 1720879547 Active

Practice location

788 Montgomery Ave
Ocoee, FL 34761-3102

Mailing address

788 Montgomery Ave Fl 34761
Ocoee, FL 34761-3102

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5161412 (FL)

Licensed Practical Nurse: 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.

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About NPI 1720879547

Chevon Stallworth's National Provider Identifier is 1720879547, issued on May 13, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Ocoee, FL. The record was last updated on May 13, 2025.