| Doctor Name: | KAREN STOVER |
| NPI Number: | 1205895836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 0024165755 |
| Business Practice Address: | 130 Health Park Blvd St. Augustine, FL - 320865776 |
| Business Phone Number: | 9048263469 |
| Business Fax Number: | 9048084608 |
| Mailing Address: | 4605 Tuscan Wood Ct, ST. AUGUSTINE |
| State: | FL |
| Postal Code: | 320923686 |
| Phone Number: | 9042402972 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024165755 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |