KERRY E WEAVER NPI 1720624406

NPI Information

NPI: 1720624406
Provider Name: KERRY E WEAVER
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 697-3600
Get Directions

Kerry E Weaver is a pediatrics nurse practitioner in Jacksonville, FL. Kerry E Weaver NPI is 1720624406. 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:

807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207-426
Phone: (904) 697-3600

The enumeration date for this NPI number is 11/18/2019 and was last updated on 6/3/2022.

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	163WP0200X	Registered Nurse	Pediatrics	RN9424439	FLORIDA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	APRN11017050	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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