Individual provider · Type 1 NPI

Equilla Katrice Stallworth, LPN

Licensed Practical Nurse · Jacksonville, FL

NPI number 1760320428 Active

Practice location

6639 Southpoint Pkwy Ste 108
Jacksonville, FL 32216-8042

Call (904) 438-7640 Map

Fax (904) 438-7656

Mailing address

3307 Chestnut Ridge Way
Orange Park, FL 32065-3635

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5248091 (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 1760320428

Equilla Katrice Stallworth, LPN's National Provider Identifier is 1760320428, issued on Mar 24, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 24, 2026.