Individual
JEFFREY JEROME WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1639
Mailing address
205 S GREEN RD, SOUTH EUCLID, OH 44121-2320
(216) 776-8928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CPN.024568
OH
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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