Individual provider · Type 1 NPI

Leslie Shannan Weaver, ARNP

Adult Health Nurse Practitioner · Jacksonville, FL

NPI number 1770059008 Active

Practice location

1301 Palm Ave Ste 700
Jacksonville, FL 32207-8457

Fax (904) 202-2754

Mailing address

PO Box 746654
Atlanta, GA 30374-6654

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN9180832 (FL)
Adult Health Nurse Practitioner Primary 363LA2200XARNP9180832 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1770059008

Leslie Shannan Weaver, ARNP's National Provider Identifier is 1770059008, issued on Oct 14, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jacksonville, FL. The record was last updated on May 19, 2025.