Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY BLAKE WEAVER, P.A.
ActiveJEREMY BLAKE WEAVER, P.A. is a Physician Assistant healthcare provider located in VAN BUREN, Arkansas. NPI 1790014447 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VAN BUREN, AR
Registration Details
- NPI Number
- 1790014447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2009 (16.534435929365 yrs)
- Last Updated
- Jan 26, 2021
- Licenses
-
PA06492 (TX)PA-843 (AR)
Practice Information
- Address
-
620 BROADWAY STVAN BUREN, AR, 729565830Browse AR providers · Browse ZIP 72956
- Phone
- 4794745061
- Fax
- 4799222007
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VAN BUREN, AR
| Name | Credential | NPI |
|---|---|---|
| CETH L DAWSON | PA-C | 1245847821 |
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.