Individual
JESSICA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 THUNDER RD, ELIZABETH CITY, NC 27909-7704
(252) 549-2887
Mailing address
701 HORNSWOOD CT, CHESAPEAKE, VA 23322-7760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0001299269
VA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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