Individual
KERRY E WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
Mailing address
1503 PARRISH PL, JACKSONVILLE, FL 32205-9247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9424439
FL
363L00000X
Nurse Practitioner
Primary
APRN11017050
FL
363L00000X
Nurse Practitioner
GAA-NP002170
GA
Other
Enumeration date
11/18/2019
Last updated
10/22/2025
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