| Doctor Name: | MR. JEROME WEBER |
| NPI Number: | 1043619927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP014099 |
| Business Practice Address: | 1600 E High St Pottstown, PA - 194645008 |
| Business Phone Number: | 6103277000 |
| Business Fax Number: | |
| Mailing Address: | 506 Madison St, BIRDSBORO |
| State: | PA |
| Postal Code: | 195082151 |
| Phone Number: | 6104044884 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2014 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SP014099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |