Healthcare Provider Details

I. General information

NPI: 1609968163
Provider Name (Legal Business Name): MEGAN REGINA WEIGEL DNP, ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN WEIGEL BARRETT DNP, ARNP-C

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14215 SPARTINA CT STE 200
JACKSONVILLE FL
32224-3232
US

IV. Provider business mailing address

3948 3RD ST S # 521
JACKSONVILLE BEACH FL
32250-5847
US

V. Phone/Fax

Practice location:
  • Phone: 904-543-3510
  • Fax: 904-990-1331
Mailing address:
  • Phone: 904-249-1041
  • Fax: 904-249-9764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN3385192
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3385192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: