Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Javen Stanley Threatt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205308715

Javen Stanley Threatt is a Student in an Organized Health Care Education/Training Program in Panama City, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3040 Kings Rd
Panama City, FL 32405-2038
Phone: (850) 814-4259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205308715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 21, 2018
Last updated in NPPESDecember 21, 2018

Other providers in Panama City