Individual
JACQUELINE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5681
(717) 544-4665
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5681
(717) 544-4665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013488
PA
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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