# JORDAN WEAVER, M.D.,PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033437538
- **Authorized official:** MICHAEL J WEAVER MD (PRESIDENT)
- **Authorized official phone:** (870) 793-2540

## Contact information

- **Practice address:** 1995 HARRISON ST, BATESVILLE, AR 72501-7309
- **Practice address phone:** (870) 793-2540
- **Mailing address:** 1995 HARRISON ST, BATESVILLE, AR 72501-7309
- **Mailing address phone:** (870) 793-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MC-2756 | AR | Yes |

## Other

- **Enumeration date:** 05/07/2010
- **Last updated:** 09/22/2010