Provider Demographics
NPI:1588385959
Name:HORTON, STEPHANIE B (APRN,CNM)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:B
Last Name:HORTON
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Gender:
Credentials:APRN,CNM
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:LLC/ 300 HEALTH PARK BOULEVARD
Mailing Address - Street 2:SUITE #3002
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LLC/ 300 HEALTH PARK BOULEVARD
Practice Address - Street 2:SUITE #3002
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-6179
Practice Address - Country:US
Practice Address - Phone:904-819-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021592367A00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife