Equilla Katrice Stallworth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5248091 Issued in FL

Practice address

6639 Southpoint Pkwy Ste 108
Jacksonville, FL 32216-8042

Phone

(904) 438-7640

Fax

(904) 438-7656

NPI assigned

Mar 24, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1760320428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CHESTNUT RIDGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653635",
            "telephone_number": "904-438-7640",
            "fax_number": "904-438-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PKWY STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168042",
            "telephone_number": "904-438-7640",
            "fax_number": "904-438-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "EQUILLA",
        "middle_name": "KATRICE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5248091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Denham Stallings, OTD, OTR/L
• Steven Loyd Stallings, D.M.D.
• Noah Reed Stallins, PHARMD
• Camella Latasha Stallworth, RN
• Carole Stallworth
• Shanika Stallworth, CNA
• Cecelia A Stalnaker-Cauwenberghs, LMHC
• Zachary Winfield Stalnaker, D.C., B.S.B.A.
• Mackenzie Stalter
• Angela Kathleen Stalvey, ARNP-BC

• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.