Individual provider · Type 1 NPI

Javius Pettiford

Family Nurse Practitioner · Randleman, NC

NPI number 1558221978 Active

About NPI 1558221978

Javius Pettiford's National Provider Identifier is 1558221978, issued on Nov 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Randleman, NC. The record was last updated on Jan 7, 2026.