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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAVIUS PETTIFORD

Active

Family Nurse Practitioner · RANDLEMAN, NC

Registration Details

NPI Number
1558221978
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2025 (0.46895333292599 yrs)
Last Updated
Jan 7, 2026
License
5023290 (NC)

Practice Information

Address
608 W ACADEMY ST
RANDLEMAN, NC, 273179748
Browse NC providers · Browse ZIP 27317
Phone
3364951001
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in RANDLEMAN, NC

Name Credential NPI
MRS. REGINA F HODGE FNP 1780667840
PHILIP T OLSHINSKI F.N.P. 1801855143
MELISSA SMITH ROSE NP-C 1093111924
KELLY JO LUCAS 1295506798
PAUL TAYLOR FNP-C 1487473781
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.