Individual
MRS. JESSICA LYNN WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1915 EBENEZER RD, ROCK HILL, SC 29732
(803) 366-8155
Mailing address
90 SOUTHSIDE AVE STE 350, ASHEVILLE, NC 28801-4184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21871
SC
363L00000X
Nurse Practitioner
5010828
NC
Other
Enumeration date
07/17/2018
Last updated
08/07/2018
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