Jackie Lynn Weaver, DC, PHARM D

Chiropractor · Tyler, TX

Individual Active NPI

NPI number 1720072523

Practice location

2726 W Gentry Pkwy
Tyler, TX 75702-1635
Phone
(903) 593-2533
Fax
(903) 593-2555

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NPI record

NPI
1720072523
Entity type
Individual (Type 1)
Enumeration date
September 7, 2005
Last updated
January 19, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 6129 DC TX
Pharmacist 183500000X 48560 TX

About Dr. Weaver

Jackie Lynn Weaver, DC, PHARM D is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2726 W Gentry Pkwy, Tyler, TX 75702-1635. The NPI number 1720072523 was assigned on September 7, 2005 and the record was last updated on January 19, 2017.

Dr. Weaver lists 2 licenses in the registry: #6129 DC (TX) for Chiropractor; #48560 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackie Lynn Weaver, DC, PHARM D?

The NPI number is 1720072523.

What is the phone number of Dr. Weaver?

The phone number listed for the practice location is (903) 593-2533.

Where is Dr. Weaver located?

2726 W Gentry Pkwy, Tyler, TX 75702-1635.

What is the taxonomy code for Dr. Weaver?

The primary taxonomy code is 111N00000X – Chiropractor; 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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