Jessica Leigh Weather PA-C

NPI 1063763894 - Physician Assistant - 363A00000X

NPI Details
NPI 1063763894
Gender Female
Enumeration Date 09/19/2012
Last Updated 09/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
34TH ST AND CIVIC CENTER BLVD
RICHARD D WOOD CENTER, 3RD FLOOR
PHILADELPHIA PA, 19104, US
Phone (215) 590-2754
Fax
Business Location
4742 PINE ST APT 202
PHILADELPHIA PA, 19143-1966, US
Phone (919) 793-8104
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number TMA052680
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According to our database, Miss Jessica Leigh Weather PA-C NPI is 1063763894, taxonomy code is 363A00000X and license number is TMA052680, license state is located at Pennsylvania. Jessica Leigh Weather PA-C physically located at 34th St And Civic Center Blvd, Philadelphia PA, 19104. NPI Number Jessica Leigh Weather PA-C has the Individual type.

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1063763894 NPI number is provided on an as is basis without warranty of any kind. 1063763894 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Leigh Weather PA-C are for informational purposes only.