Individual provider · Type 1 NPI

Jacquelyn Stacy Weider, PA

Physician Assistant · Roswell, GA

NPI number 1669381190 Active

Practice location

3000 Hospital Blvd
Roswell, GA 30076-4915

Call (770) 751-2505 Map

Mailing address

660 Ralph Mcgill Blvd NE Apt 3215
Atlanta, GA 30312-1158

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669381190

Jacquelyn Stacy Weider, PA's National Provider Identifier is 1669381190, issued on Sep 2, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roswell, GA. The record was last updated on Sep 2, 2026.