JESSICA WEEDEN NPI 1073961512

NPI Information

  • NPI: 1073961512
  • Provider Name: JESSICA WEEDEN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3643 WALTON WAY EXT
    AUGUSTA, GA
    ZIP 30909
  • Phone: (706) 364-1404

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NPI Details

Jessica Weeden is a professional counselor in Augusta, GA. Jessica Weeden NPI is 1073961512. 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:

3643 WALTON WAY EXT
AUGUSTA, GA
ZIP 30909-507
Phone: (706) 364-1404
Fax: (706) 364-1419

The NPI 1073961512 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.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/25/2016.

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
1101YP2500XCounselorProfessionalYes

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: 3/30/2025

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