Individual
JAVON JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 302, FAIRFAX, VA 22033-1739
(703) 648-2488
(703) 648-2489
Mailing address
151 SOUTHHALL LN # 500, MAITLAND, FL 32751-7176
(703) 648-2488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011355
VA
Other
Enumeration date
01/08/2025
Last updated
11/20/2025
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