Weakland, Jennifer P.
Weakland, Jennifer P. is an sole proprietor health care provider with primary practice located at 1200 E 3900 S , Salt Lake City UT 84124. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Weakland, Jennifer P. can be contacted via phone (801) 268-7111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AC000882 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024167173 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AC000882 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AC000882 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10645070-4405 | Utah |
Profile Details
| NPI number | 1083859714 |
|---|---|
| LBN Legal business name | Weakland, Jennifer P. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2008 |
| Last updated | Nov 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083859714 | NPPES |
| Maryland | MEDICAID | 055157100 | |
| Maryland | Other | 8525916 | |
| Maryland | Other | 9068913 | |
| Maryland | Other | 976869-02 | |
| Maryland | Other | 316970 | |
| Maryland | Other | 258254 | |
| Maryland | Other | X697-0008 |
Popular Providers
-
Hogan, Kathleen
3195 South Main Street Suite 200, Salt Lake City UT 84115-3749 -
Collins, Elizabeth Norris
3215 Valley St , Salt Lake City UT 84109-4217 -
Sampson, Judith Sawaya
3215 Valley St , Salt Lake City UT 84109-4217 -
Tufts, Gillian Gene
1365 W 1000 N , Salt Lake City UT 84116-1654 -
Barkdull, Lisa A
450 S 900 E Ste 175 , Salt Lake City UT 84102-2981 -
Wallace, Rebecca
3838 S 700 E Suite 200, Salt Lake City UT 84106-1466 -
Vadeboncoeur, Renee A
50 N Medical Dr , Salt Lake City UT 84132-0001 -
Ames, Corey Sigi
50 N Medical Dr , Salt Lake City UT 84132-0100