Individual
JON TODD WEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2333
(479) 394-4577
Mailing address
311 MORROW ST N, MENA, AR 71953-2516
(479) 243-2333
(479) 394-4577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
C01447
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
200860009CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020179
OH
Other
Enumeration date
06/08/2006
Last updated
03/18/2021
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