Individual provider · Type 1 NPI
Jackie Lynn Weaver, DC, PHARM D
Chiropractor · Tyler, TX
NPI number
1720072523
Active
Practice location
2726 W Gentry Pkwy
Tyler, TX 75702-1635
Fax (903) 593-2555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6129 DC (TX) |
| Pharmacist | 183500000X | 48560 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1720072523
Jackie Lynn Weaver, DC, PHARM D's National Provider Identifier is 1720072523, issued on Sep 7, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tyler, TX. The record was last updated on Jan 19, 2017.