Weaver, Judy E

Weaver, Judy E is an individual health care provider with primary practice located at 1007 Greenfield Dr , Tifton GA 31794-3795. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Weaver, Judy E can be contacted via phone (229) 382-9733.

Contact Information

Primary practice address
1007 Greenfield Dr Tifton GA 31794-3795
Phone: (229) 382-9733
Fax: (229) 387-6161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R089815 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN089815 Georgia

Profile Details

NPI number 1063481224
LBN Legal business name Weaver, Judy E
Credentials APRNBC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063481224 NPPES
Georgia MEDICAID 00844368A

Popular Providers