MITZI WEEKLEY (NPI# 1003326604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003326604 |
| Entity Type | Individual |
| Full Name | MITZI WEEKLEY |
| Credential | FNP-C |
| Practice Address |
101 Watson Dr Ste B Jeffersonville GA 31044-5508 |
| Mailing Address |
Po Box 371 Wrightsville GA 31096-0371 |
| Practice Telephone | 4789456522 |
| Practice Fax Number | 4788641288 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN080584 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICAL LICENSE | RN080584 | 01 |
| Street Address |
101 WATSON DR STE B |
| City | JEFFERSONVILLE |
| State | GA |
| Zip Code | 31044-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194996421 | Community Health Care Systems, Inc. | Clinic/Center | 101 Watson Rd, Jeffersonville, GA 31044 | 2008-03-14 |
| 1306853908 | Twiggs Department of Public Health | Public Health or Welfare | 26 Main St., Jeffersonville, GA 31044 | 2006-08-03 |
| 1033279021 | River Edge Behavorial Health Center | Community/Behavioral Health | 109 East Main St., Jeffersonville, GA 31044 | 2006-12-11 |
| 1518521418 | Her Own Incorporation | Non-emergency Medical Transport (VAN) | 470 Martin Luther King Blvd, Jeffersonville, GA 31044-3432 | 2019-04-25 |
| 1033329602 | Sims Healthcare, Inc | Pharmacy | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2007-05-23 |
| 1134675549 | Michael Sims | Pharmacist | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2016-08-27 |
| 1265906960 | D'netra Latrice Young-lawal | Social Worker | 224 Main St, Jeffersonville, GA 31044-3642 | 2019-01-15 |
| 1356747885 | Crystal Stephens | Occupational Therapy Assistant | 61 Hillcrest Dr, Jeffersonville, GA 31044-3723 | 2014-11-11 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1366857609 | Twiggs County Public Schools | Registered Nurse | 952 Main St, Jeffersonville, GA 31044-3727 | 2014-06-25 |
| Find all providers in zip 31044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670542 | Dawn Renee Poer | Nurse Practitioner | 190 N Ware Chappel Rd, Jeffersonville, KY 40337-9033 | 2019-07-16 |
| 1467019935 | Amanda Goetz | Nurse Practitioner | 8 Graceland Way, Jeffersonville, IN 47130-5266 | 2019-05-21 |
| 1356875397 | Leslie Marie Stegall | Nurse Practitioner | 26a Railroad St, Jeffersonville, OH 43128 | 2017-04-17 |
| 1083016331 | La'tisha Washington | Nurse Practitioner | 2015 Aster Dr, Jeffersonville, IN 47130-4913 | 2014-09-18 |
| 1255696472 | Trina Michelle Cox | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 101, Jeffersonville, IN 47130-3765 | 2012-07-13 |
| 1861770984 | Committed 2 Care Family Practice LLC | Nurse Practitioner | 1410 Charlestown New Albany Rd, Suite 103, Jeffersonville, IN 47130-9639 | 2011-07-22 |
| 1437467065 | Kimberly J Speth | Nurse Practitioner | 1407 Spring St Ste 1, Jeffersonville, IN 47130-3748 | 2010-09-16 |
| 1407188840 | Stephanie Lynn Haler Mora | Nurse Practitioner | 1605 Fox Run Trl, Jeffersonville, IN 47130-8205 | 2010-02-10 |
| 1538396155 | Amanda Sue Davis-houchen | Nurse Practitioner | 1036 Sharon Dr, Jeffersonville, IN 47130-4522 | 2009-06-22 |
| 1598946741 | Junice L. Johnson | Nurse Practitioner | 1301 Akers Ave, Jeffersonville, IN 47130-3720 | 2007-11-15 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 31044 |
Please comment or provide details below to improve the information on MITZI WEEKLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.