Individual
MS. JERRY ANN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
153 SAN JOSE DR, SPRINGDALE, AR 72764-2537
(479) 313-4191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R12310
AR
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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