Individual
JESSICA ERIN WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
850 SOUTHAMPTON AVE # 3, NORFOLK, VA 23510-1021
(757) 668-9920
(757) 668-9930
Mailing address
850 SOUTHAMPTON AVE # 3, NORFOLK, VA 23510-1021
(757) 668-9920
(757) 668-9930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0110006977
VA
2084N0400X
Neurology Physician
0110006977
VA
363A00000X
Physician Assistant
0010-12249
NC
363A00000X
Physician Assistant
Primary
0110006977
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110006977
VA LICENSE #
VA
01
—
01852
WV LICENSE #
WV
Enumeration date
11/10/2014
Last updated
02/10/2026
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