Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WEIDEMAN
ActiveJESSICA WEIDEMAN is a Athletic Trainer healthcare provider located in PRIOR LAKE, Minnesota. NPI 1205426640 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PRIOR LAKE, MN
Registration Details
- NPI Number
- 1205426640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2021 (5.5280095890079 yrs)
- Last Updated
- Dec 22, 2022
Practice Information
- Address
-
16288 PARKVIEW DR SEPRIOR LAKE, MN, 553723314Browse MN providers · Browse ZIP 55372
- Phone
- 9524477260
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.