Healthcare Provider Details

I. General information

NPI: 1285560748
Provider Name (Legal Business Name): JAIME WEIMER MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 VALLEY WAY DR
GREENWOOD IN
46142-7235
US

IV. Provider business mailing address

4320 VALLEY WAY DR
GREENWOOD IN
46142-7235
US

V. Phone/Fax

Practice location:
  • Phone: 317-340-8515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number28168419A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: