Individual
ELIZABETH JUNE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-4820
Mailing address
1421 FOREST DALE LN, JOHNSON CITY, TN 37604-7108
(423) 335-7321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192578
TN
363LF0000X
Family Nurse Practitioner
Primary
25641
TN
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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