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Contact Information

JENNIFER WEISS, PA-C
630 W MAPLE ST
FARMINGTON, NM87401-6113
 Phone: 505-609-6349
 Fax: 505-599-4679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER WEISS · (Female)

NPI Number 1811244007
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/07/2012
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2024-0065
  • VA License # 0110003901
  • NM Other PA2024-0065 NEW MEXICO BOARD OF MEDICINE
  • VA Other 0110003901 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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