Weiss, Jennifer

Weiss, Jennifer is an individual health care provider with primary practice located at 630 W Maple St , Farmington NM 87401-6113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Weiss, Jennifer can be contacted via phone (505) 609-6349.

Contact Information

Primary practice address
630 W Maple St Farmington NM 87401-6113
Phone: (505) 609-6349
Fax: (505) 599-4679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003901 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2024-0065 New Mexico

Profile Details

NPI number 1811244007
LBN Legal business name Weiss, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2012
Last updated Nov 12th, 2024 - about 2 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 1811244007 NPPES
New Mexico Other PA2024-0065 NEW MEXICO BOARD OF MEDICINE
New Mexico Other 0110003901 NEW MEXICO BOARD OF MEDICINE

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