Provider Demographics
NPI:1770235624
Name:MCFARLIN, JAVON L
Entity Type:Individual
Prefix:MS
First Name:JAVON
Middle Name:L
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 WARNER AVE APT B2
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1949
Mailing Address - Country:US
Mailing Address - Phone:202-840-1234
Mailing Address - Fax:
Practice Address - Street 1:1348 OTIS PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3434
Practice Address - Country:US
Practice Address - Phone:202-387-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide