Individual provider · Type 1 NPI

Holly Weaver

Student in an Organized Health Care Education/Training Program · Perkinston, MS

NPI number 1376410779 Active

Practice location

28249 Lake Cypress Dr
Perkinston, MS 39573-4474

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1376410779

Holly Weaver's National Provider Identifier is 1376410779, issued on Oct 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Perkinston, MS. The record was last updated on Oct 20, 2025.