Individual
JONATHAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 ELM ST STE 401, RENO, NV 89503-4541
(775) 470-6651
(775) 622-0788
Mailing address
1400 E 9TH ST UNIT 4, RENO, NV 89512-2920
(775) 971-7353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
885460
NV
Other
Enumeration date
09/24/2012
Last updated
06/04/2025
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