Individual
KELLEY JO ANNA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FAIRCROFT WAY, MONROE, NC 28110-8838
(704) 421-2894
Mailing address
2900 FAIRCROFT WAY, MONROE, NC 28110-8838
(704) 421-2894
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
433
NC
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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