| Doctor Name: | PATTI SUZANNE WEAVER |
| NPI Number: | 1013999838 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | R731838 |
| Business Practice Address: | 1800 12th St Meridian, MS - 393014158 |
| Business Phone Number: | 6017034065 |
| Business Fax Number: | 6017033050 |
| Mailing Address: | 1800 12th St, MERIDIAN |
| State: | MS |
| Postal Code: | 393014158 |
| Phone Number: | 6017034282 |
| Fax Number: | 6017034597 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R731838 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |