| Doctor Name: | JEAN L. WEATHERS |
| NPI Number: | 1003931825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. , C.M.W. |
| License Number: | 105702 |
| Business Practice Address: | 475 Bruce St Yreka, CA - 960973474 |
| Business Phone Number: | 5308424337 |
| Business Fax Number: | 5308429121 |
| Mailing Address: | 475 Bruce St, YREKA |
| State: | CA |
| Postal Code: | 960973474 |
| Phone Number: | 5308424337 |
| Fax Number: | 5308429121 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 105702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |