DR. JESSICA LUCILLE WEAVER (NPI# 1750401543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750401543 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LUCILLE WEAVER |
| Credential | DMD |
| Practice Address |
436 Mdg 300 Tuskegee Blvd Dover Afb DE 19962 |
| Practice Telephone | 4074313696 |
| Mailing Telephone | 4074313696 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN15076 | FL | Dental Providers |
| N | 122300000X | Dentist | D15076 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15076 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922656040 | Jessica Weaver | Registered Nurse | 919 W Barrow Dr, Chandler, AZ 85225-2151 | 2019-09-02 |
| 1982268348 | Jessica R.w. Weaver | Counselor | 1285 Main St Fl 1, Buffalo, NY 14209-1961 | 2019-04-30 |
| 1316329816 | Jessica Lynn Weaver | Speech-Language Pathologist | 12 Orchard Ave, Whitesboro, NY 13492-2806 | 2015-06-22 |
| 1780023085 | Jessica Anne Weaver | Behavioral Analyst | 803 Tyler St, Hollywood, FL 33019-1326 | 2013-06-19 |
| 1093327322 | Jessica Weaver | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-18 |
| 1962029991 | Jessica Weaver | Speech-Language Pathologist | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-06-25 |
| 1033744594 | Jessica Weaver | Speech-Language Pathologist | 68 Harvard St, Brookline, MA 02445-7991 | 2020-03-05 |
| 1437538485 | Jessica Gaeta Weaver | Registered Nurse | 1140 W La Veta Ave, Orange, CA 92868 | 2015-05-22 |
| 1477930402 | Jessica Weaver | Community Health Worker | 344 E 100 S, Slc, UT 84111-1700 | 2015-04-28 |
| 1770839292 | Jessica Weaver | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2012-08-02 |
| Street Address |
436 MDG 300 TUSKEGEE BLVD |
| City | DOVER AFB |
| State | DE |
| Zip Code | 19962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588936355 | Guillermo J Rosa | Pharmacist | 754 Ponderosa Dr, Magnolia, DE 19962-1140 | 2012-02-08 |
| 1316496318 | Scott M Butler | Nurse Practitioner | 431 Fieldbrook Dr, Magnolia, DE 19962-1481 | 2016-10-02 |
| 1801248166 | Emily White | Social Worker | 154 Fieldbrook Ln, Magnolia, DE 19962-1487 | 2016-07-11 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1720481948 | Ivan Luke West Sr. | Physical Therapy Assistant | 175 Cider Run, Magnolia, DE 19962-1667 | 2014-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1477764645 | Michelle Lynn Hardy | Registered Nurse | 1311 Millchop Ln, Magnolia, DE 19962-1750 | 2007-05-26 |
| 1942670112 | Justina Williams | Registered Nurse | 662 Quaker Hill Rd, Magnolia, DE 19962-2209 | 2015-10-01 |
| 1700437746 | Dorothy Nkongho Eyong | Nurse Practitioner | 775 Tullamore Ct, Magnolia, DE 19962-2621 | 2019-09-20 |
| 1477881456 | Brianne Reed | Skilled Nursing Facility | 387 Glenn Forest Rd, Magnolia, DE 19962-2729 | 2009-12-02 |
| Find all providers in zip 19962 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357753 | Marisa Romeo | Dentist | 300 Tuskegee Blvd, Bldg 304, Dover Afb, DE 19902-5300 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165427 | Delaware Dental Solutions LLC | Dentist | 131 Becks Woods Dr., Bear, DE 19701 | 2019-10-08 |
| 1417424649 | Lindell Plaza Dental LLC | Dentist | 1601 Milltown Rd Ste 26b, Wilmington, DE 19808-4027 | 2018-10-25 |
| 1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
| 1700312527 | Michael James Moeller | Dentist | 748 S New St Ste C, Dover, DE 19904-3573 | 2017-05-11 |
| 1134571565 | Kehan Li | Dentist | 60 Wolf Creek Blvd, Dover, DE 19901-4971 | 2016-07-11 |
| 1326468513 | Edward Blake Bayley | Dentist | 1610 Sunset Ln, Wilmington, DE 19810-4149 | 2014-04-26 |
| 1922422435 | Southern Dental LLC | Dentist | 703 Health Services Dr, Seaford, DE 19973-5784 | 2014-02-05 |
| 1447695127 | Jeffrey Bartoshesky | Dentist | 10250 Stone Creek Dr Unit 1, Laurel, DE 19956-4707 | 2013-05-08 |
| 1235402496 | Access Dental, LLC | Dentist | 446a S New St, Dover, DE 19904-6725 | 2012-02-20 |
| 1992097307 | Ryan Robinson | Dentist | 4901 Limestone Rd., Wilmington, DE 19808 | 2011-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.