JAVIUS PETTIFORD
NPI 1558221978
Nurse Practitioner - Family in Randleman, NC
- Individual
- Female
- Nurse Practitioner
- Family
About JAVIUS PETTIFORD
This page provides the complete NPI Profile along with additional information for Javius Pettiford, a provider established in Randleman, North Carolina with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1558221978 assigned on November 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 5023290 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1558221978 Verify this NPI
- Provider Name
- JAVIUS PETTIFORD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 608 W ACADEMY ST RANDLEMAN, NC 27317
- Location Phone
- (336) 495-1001
- Mailing Address
- 4449 BAYLOR ST GREENSBORO, NC 27455
- Mailing Phone
- (336) 583-4413
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2025
- Last Update Date
- 01-07-2026
- Code Navigator
A nurse practitioner (NP) like Javius Pettiford is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5023290
- License State
- NC
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558221978, enumerated as an "individual" on November 17, 2025.
The provider is located at 608 W ACADEMY ST RANDLEMAN, NC 27317 and the phone number is (336) 495-1001.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
