| Organization Name: | WEAVER FAMILY PRACTICE, INC. |
| NPI Number: | 1174615454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER E. J. WEAVER (OWNER) |
| Mailing Address: | 4962 Lebanon Pike Old Hickory |
| State: | TN US |
| Postal Code: | 371384126 |
| Phone Number: | 6158743422 |
| Fax Number: | 6158743465 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |