# MS. LEAH REBBECA STALLWORTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003138314
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.335633 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0029728 | OH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0029728 | OH | Yes |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 06/01/2026
