Provider Demographics
NPI:1487078903
Name:STONE, DAWN ELIZABETH (ARNP-C)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:ELIZABETH
Last Name:STONE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:ELIZABETH
Other - Last Name:JENNETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-C
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-532-1355
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:3003 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:MAB 3RD FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-554-8983
Practice Address - Fax:813-443-8177
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175302363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010678200Medicaid
FLHS140ZMedicare PIN