Camella Latasha Stallworth, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9606414 Issued in FL

Practice address

10245 Rising Mist LN
Jacksonville, FL 32221-3006

Phone

(904) 238-1796

NPI assigned

Apr 3, 2025

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1811791130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 RISING MIST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213006",
            "telephone_number": "904-238-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 RISING MIST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213006",
            "telephone_number": "904-238-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "CAMELLA",
        "middle_name": "LATASHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9606414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Arnett Staley, PA-C
• Robin C Staley
• Katherine Denham Stallings, OTD, OTR/L
• Steven Loyd Stallings, D.M.D.
• Noah Reed Stallins, PHARMD
• Carole Stallworth
• Equilla Katrice Stallworth, LPN
• Shanika Stallworth, CNA
• Cecelia A Stalnaker-Cauwenberghs, LMHC
• Zachary Winfield Stalnaker, D.C., B.S.B.A.

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.