MS. JENNIFER P. WEAKLAND FNP NPI 1083859714

NPI Information

NPI: 1083859714
Provider Name: MS. JENNIFER P. WEAKLAND, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 268-7111
Get Directions

MS. Jennifer P. Weakland, FNP is a family nurse practitioner in Salt Lake City, UT. MS. Jennifer P. Weakland, FNP NPI is 1083859714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 268-7111

The NPI 1083859714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AC000882	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	10645070-4405	UTAH	Yes
3	363LF0000X	Nurse Practitioner	Family	AC000882	MARYLAND	No
4	363LF0000X	Nurse Practitioner	Family	0024167173	VIRGINIA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AC000882	VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	258254	OTHER	MARYLAND	JHHC
2	9068913	OTHER	MARYLAND	AETNA PPO
3	976869-02	OTHER	MARYLAND	CAREFIRST MD
4	X697-0008	OTHER	MARYLAND	CAREFIRST DC
5	055157100	MEDICAID	MARYLAND
6	8525916	OTHER	MARYLAND	AETNA HMO
7	316970	OTHER	MARYLAND	KAISER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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