Weaver, Jessie

Weaver, Jessie is an individual health care provider with primary practice located at 1629 Madison Ave , Covington KY 41011-3317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weaver, Jessie can be contacted via phone (859) 814-8022.

Contact Information

Primary practice address
1629 Madison Ave Covington KY 41011-3317
Phone: (859) 814-8022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 299795 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1670 Kentucky

Profile Details

NPI number 1427525005
LBN Legal business name Weaver, Jessie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2018
Last updated Sep 2nd, 2026 - about last month

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 1427525005 NPPES
Kentucky Other 299795 ADC

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