Individual
MRS. JENNIFFER L FUNK-WEYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
246 GRANGER RD STE 2, BARRE, VT 05641-5352
(802) 225-5810
(802) 371-4821
Mailing address
CVMC FAMILY MEDICINE BERLIN, 246 GRANGER ROAD SUITE 2, BERLIN, VT 05641
(802) 255-5810
(802) 371-4821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010134202
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035031
—
VT
Enumeration date
11/27/2012
Last updated
05/06/2019
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