Individual provider · Type 1 NPI

Carly Jean Weaver

Nurse Practitioner · Temple Terrace, FL

NPI number 1629637293 Active

Practice location

12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904

Fax (813) 357-5501

Other practice locations

  • 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 · (813) 871-8200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X11001578 (FL)
Nurse Practitioner Primary 363L00000XAPRN11001578 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

23 other providers at this address

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About NPI 1629637293

Carly Jean Weaver's National Provider Identifier is 1629637293, issued on Jun 7, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Temple Terrace, FL. The record was last updated on Mar 7, 2023.