Individual
MS. JENNIFER P. WEAKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124
(801) 268-7111
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AC000882
MD
363LF0000X
Family Nurse Practitioner
0024167173
VA
363LF0000X
Family Nurse Practitioner
Primary
10645070-4405
UT
363LF0000X
Family Nurse Practitioner
AC000882
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC000882
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055157100
—
MD
01
—
258254
JHHC
MD
01
—
316970
KAISER
MD
01
—
8525916
AETNA HMO
MD
01
—
9068913
AETNA PPO
MD
01
—
976869-02
CAREFIRST MD
MD
01
—
X697-0008
CAREFIRST DC
MD
Enumeration date
12/09/2008
Last updated
11/20/2020
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