Individual
JORDAN MATTHEW WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 225-2711
Mailing address
459 KENNARD RD APT 8, MANCHESTER, NH 03104-4010
(510) 931-0279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
087160-21
NH
163W00000X
Registered Nurse
Primary
95145527
CA
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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