Individual provider · Type 1 NPI

Javen Stanley Threatt

Student in an Organized Health Care Education/Training Program · Panama City, FL

NPI number 1205308715 Active

Practice location

3040 Kings Rd
Panama City, FL 32405-2038

Call (850) 814-4259 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205308715

Javen Stanley Threatt's National Provider Identifier is 1205308715, issued on Dec 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Panama City, FL. The record was last updated on Dec 21, 2018.