# MS. JENNIFER MICHELLE WEAVER

> 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:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356628606
- **Gender:** F
- **Credential:** M.A, CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 12128099 | — | Yes |
| 235Z00000X | Speech-Language Pathologist | 9413 | NC | — |
| 235Z00000X | Speech-Language Pathologist | SP.9495 | OH | — |

## Other

- **Enumeration date:** 11/14/2011
- **Last updated:** 11/14/2011
