Individual
JENNA WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 LAKE LOUDON BLVD, KNOXVILLE, TN 37916-4009
(925) 858-3309
Mailing address
2244 TULANE AVE, LONG BEACH, CA 90815-1944
(925) 858-3309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
05/23/2026
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