Individual
JENNIFER HUDSON WEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 HAWTHORNE LN, SUITE 100, CHARLOTTE, NC 28204-2450
(704) 384-1900
(704) 384-1919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001562
NC
363LP0200X
Pediatric Nurse Practitioner
5001562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005299
—
NC
Enumeration date
07/22/2006
Last updated
09/11/2025
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