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Carly Jean Weaver
Nurse Practitioner in Temple Terrace, Florida
NPI 1629637293

Carly Jean Weaver is a Nurse Practitioner based in Temple Terrace, FL. Carly Jean Weaver practices in Temple Terrace, FL. The NPI Number for Carly Jean Weaver is 1629637293 and holds a License No. 11001578 (Florida).

The current practice location address for Carly Jean Weaver is 12470 Telecom Dr Ste 300W, Temple Terrace, FL and can be reached out via phone at 813-871-8200 and via fax at 813-357-5501. You can also correspond with Carly Jean Weaver through the mailing address at 12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL - 33637-0904 (mailing address contact number: 813-871-8183).

Location: 12470 Telecom Dr Ste 300W, Temple Terrace, FL, 33637-0904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629637293
Provider Name
Carly Jean Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
12470 Telecom Dr Ste 300W, Temple Terrace, FL, 33637-0904
Phone Number
813-871-8200
Fax Number
813-357-5501
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN11001578 01 FL DEPARTMENT OF HEALTH
4ULEI 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12470 Telecom Dr Ste 300W
City
Temple Terrace
State
Florida
Zip
33637-0904
Phone Number
813-871-8200
Fax Number
813-357-5501
person
Provider Business Mailing Address Details
Address
12470 Telecom Dr Ste 300W
City
Temple Terrace
State
Florida
Zip
33637-0904
Phone Number
813-871-8200
Fax Number
813-357-5501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN11001578 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
11001578 (Florida)
Definition
Definition to come...
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