Dr. Kristin Jaclyn Weaver, M.D., Ph.D.
Neurological Surgery in Jackson, MS. Individual provider (NPI-1).
NPI number1891007134
StatusActive
Last updated in NPPESNov 14, 2018
Details
- NPI
- 1891007134
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristin Jaclyn Weaver
- Credential
- M.D., Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2010
- Last updated
- Nov 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 25798 | MS | Yes |
| 207T00000X | Neurological Surgery | MD45234 | PA | |
| 207T00000X | Neurological Surgery | ME112461 | FL |
Practice location
2500 N State StJackson, MS 39216
Phone 601-984-5700
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 601-984-5706 · Fax 601-984-5733
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