Individual
JANELLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
25 COMMERCE PARK DR, RAPHINE, VA 24472-2547
(540) 490-2527
(540) 377-2099
Mailing address
25 COMMERCE PARK DR, RAPHINE, VA 24472-2547
(540) 490-2527
(540) 377-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101277193
VA
207Q00000X
Family Medicine Physician
61110377
WA
207Q00000X
Family Medicine Physician
MD61110377
WA
Other
Enumeration date
05/18/2018
Last updated
07/24/2025
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