Healthcare Provider Details

I. General information

NPI: 1740376557
Provider Name (Legal Business Name): KAREN S STONE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BAPTIST WAY STE 4C
PENSACOLA FL
32503-2274
US

IV. Provider business mailing address

PO BOX 95590
SOUTH JORDAN UT
84095-0590
US

V. Phone/Fax

Practice location:
  • Phone: 448-227-6330
  • Fax: 850-626-9606
Mailing address:
  • Phone: 801-784-0954
  • Fax: 801-352-7976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2933552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: