Individual
JENNIFER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60676078
WA
363L00000X
Nurse Practitioner
Primary
AP60822573
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102764
—
WA
Enumeration date
04/08/2018
Last updated
02/27/2026
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