Jessica Weaver

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

0001299269 Issued in VA

Practice address

905 Thunder Rd
Elizabeth City, NC 27909-7704

Phone

(252) 549-2887

NPI assigned

Mar 16, 2026

Last updated

Mar 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1467309716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HORNSWOOD CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097704",
            "telephone_number": "252-549-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0001299269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Watroba, PT
• James Morris Watson, M.D.
• Lauren Kathleen Watson
• Jamie Nash Waugaman, MSW, LCSW
• William J Weast, CRNA
• Jeffrey Weedon, RBT
• Larissa Ann Wertalik, DO
• John Martin Whalen, CRNA
• Sherry Renee Whaley
• Krissa L Wharton

• Student in an Organized Health Care Education/Training Program in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.