| Doctor Name: | DR. JODI KAREN WEISSMAN |
| NPI Number: | 1003051095 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P, C.S, PH.D |
| License Number: | 023477102 |
| Business Practice Address: | 7301 W. Palmetto Park Suite 203-a Boca Raton, FL - 33433 |
| Business Phone Number: | 5613912770 |
| Business Fax Number: | 5613912930 |
| Mailing Address: | 7301 W. Palmetto Park, Suite 203-a BOCA RATON |
| State: | FL |
| Postal Code: | 33433 |
| Phone Number: | 5613912770 |
| Fax Number: | 5613912930 |
| NPI Enumeration Date: | 12/05/2008 |
| NPI Last Update Date: | 12/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 023477102 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |