Individual
JORDY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 649-8259
Mailing address
214 S MAIN ST, COTTONWOOD, AZ 86326-3907
(928) 649-8259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
242019
AZ
Other
Enumeration date
06/07/2020
Last updated
06/16/2020
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