Carly Jean Weaver

Nurse Practitioner · Temple Terrace, FL

Individual Active NPI

NPI number 1629637293

Practice location

12470 Telecom Dr Ste 300w
Temple Terrace, FL 33637-0904
Phone
(813) 871-8200
Fax
(813) 357-5501

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NPI record

NPI
1629637293
Entity type
Individual (Type 1)
Enumeration date
June 7, 2019
Last updated
March 7, 2023
Certified
August 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN11001578 FL
Pediatric Nurse Practitioner 363LP0200X 11001578 FL

Other practice locations (1)

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

About Carly Weaver

Carly Jean Weaver is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904. The NPI number 1629637293 was assigned on June 7, 2019 and the record was last updated on March 7, 2023.

Carly Weaver lists 2 licenses in the registry: #APRN11001578 (FL) for Nurse Practitioner; #11001578 (FL) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carly Jean Weaver?

The NPI number is 1629637293.

What is the phone number of Carly Weaver?

The phone number listed for the practice location is (813) 871-8200.

Where is Carly Weaver located?

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

What is the taxonomy code for Carly Weaver?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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