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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAVLYN DICKSON WEAVER, PA

Active

JAVLYN DICKSON WEAVER, PA is a Physician Assistant healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1528774932 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOUNTAIN HOME, ID

Registration Details

NPI Number
1528774932
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2023 (3.5229462544571 yrs)
Last Updated
Jan 30, 2023
License
12989329-1206 (UT)

Practice Information

Address
895 N 6TH E
MOUNTAIN HOME, ID, 836472207
Browse ID providers · Browse ZIP 83647
Phone
2085878401
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MOUNTAIN HOME, ID

Name Credential NPI
DERRICK A ROWE PA-C 1851624340
JOSEPH WELLS HOSKIN PA-C 1871092189
SCOTT K M KNUDSEN PA 1629651666
MS. MALINDA PAIGE WESTENDORF 1003546276
WENDY DIANE LOUMEAU PA 1144950270
QUINN M ROMERIL PA-C 1386498574
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.