Weaver, Javlyn Dickson

Weaver, Javlyn Dickson is an individual health care provider with primary practice located at 895 N 6Th E , Mountain Home ID 83647-2207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Weaver, Javlyn Dickson can be contacted via phone (208) 587-8401.

Contact Information

Primary practice address
895 N 6Th E Mountain Home ID 83647-2207
Phone: (208) 587-8401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12989329-1206 Utah

Profile Details

NPI number 1528774932
LBN Legal business name Weaver, Javlyn Dickson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 2023 - 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

Popular Providers