MEDICARE: JESSICA WEAVER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AK001277	PA

General Provider Information

NPI Number	:	1912572322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA WEAVER

Provider Business Mailing Address
First Line	:	255 S 17TH ST STE 1502
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6215
Country	:	US
Telephone Number	:	215-617-4134
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 1502
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6215
Country	:	US
Telephone Number	:	215-617-4134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2021
Last Update Date	:	05/26/2021

Similar Medicare Providers

1104976976 — DR. JEREMY SOH PH.D.
Practice Location Address:

255 S 17TH ST STE 1508
PHILADELPHIA, PA
19103-6215

Practice Phone: 510-822-6898
Practice Fax:

1891146288 — DR. SUSANNA CORDISH SATTEN DAC, L.AC., DIPL.AC.
Practice Location Address:

255 S 17TH ST STE 1502
PHILADELPHIA, PA
19103-6215

Practice Phone: 215-469-1750
Practice Fax:

1619469822 — MS. AMANDA BORSON LCSW
Practice Location Address:

255 S 17TH ST STE 1509
PHILADELPHIA, PA
19103-6215

Practice Phone: 267-417-7634
Practice Fax:

1346002607 — MEGHAN MEGHAN WALLACE
Practice Location Address:

255 S 17TH ST STE 1504
PHILADELPHIA, PA
19103-6215

Practice Phone: 215-362-3040
Practice Fax:

1578446217 — MEGHAN WALLACE COUNSELING SERVICES
Practice Location Address:

255 S 17TH ST STE 1504
PHILADELPHIA, PA
19103-6215

Practice Phone: 215-362-3040
Practice Fax:

1972688422 — LAURA HAWLEY L.AC., LCSW
Practice Location Address:

255 S 17TH ST STE 1502
PHILA, PA
19103-6215

Practice Phone: 215-545-7040
Practice Fax: 215-545-4095

Directions to “ JESSICA WEAVER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.