Individual provider · Type 1 NPI

Jessica Tran Weidner, NURSE PRACTITIONER

Family Nurse Practitioner · Fountain Valley, CA

NPI number 1629596911 Active

Practice location

17100 Euclid St
Fountain Valley, CA 92708-4004

Mailing address

14321 Heatherfield Dr
Tustin, CA 92780-6327

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95007212 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1629596911

Jessica Tran Weidner, NURSE PRACTITIONER's National Provider Identifier is 1629596911, issued on Sep 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fountain Valley, CA. The record was last updated on Sep 6, 2017.