Weaver, Danelle

Weaver, Danelle is an individual health care provider with primary practice located at 4624 Park St , Jacksonville FL 32205-7327. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Weaver, Danelle can be contacted via phone (904) 503-0131.

Contact Information

Primary practice address
4624 Park St Jacksonville FL 32205-7327
Phone: (904) 503-0131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9227262 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9227262 Florida

Profile Details

NPI number 1477807444
LBN Legal business name Weaver, Danelle
Credentials ADULT NP-BC,PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Aug 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477807444 NPPES
Florida MEDICAID 102378500

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