KELLEY JO ANNA WEAVER NPI 1376411751

NPI Information

  • NPI: 1376411751
  • Provider Name: KELLEY JO ANNA WEAVER
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 2900 FAIRCROFT WAY
    MONROE, NC
    ZIP 28110
  • Phone: (704) 421-2894

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NPI Details

Kelley Jo Anna Weaver is a clinical nurse specialist in Monroe, NC. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Kelley Jo Anna Weaver NPI is 1376411751. 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:

2900 FAIRCROFT WAY
MONROE, NC
ZIP 28110-838
Phone: (704) 421-2894

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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
1364S00000XClinical Nurse Specialist433NORTH CAROLINAYes

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: 11/21/2025

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