Organization
DIABETES CONCEPTS BY JAVINS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE JERRY JAVINS RN, BSN, CDE, CPT (PRESIDENT)
(304) 344-3171
Entity
Organization
Contact information
Practice address
300 ASSOCIATION DR, SUITE 320, NORTH GATE BUSINESS PARK, CHARLESTON, WV 25311-1269
(304) 344-3171
(304) 344-3178
Mailing address
300 ASSOCIATION DR, SUITE 320, NORTH GATE BUSINESS PARK, CHARLESTON, WV 25311-1269
(304) 344-3171
(304) 344-3178
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
40454
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004840
—
WV
Enumeration date
11/02/2006
Last updated
08/22/2020
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