Jordan Kathleena Weaver
Medical Specialty
Professional ID
- NPI: 1780121863
- PECOS ID: 3072897834
- Enrollment ID: I20170223001220
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Medical Practices
- Organization Name: Shoals Primary Care, Llc
- Group Practice ID assigned by PECOS: 1557406246
- Number of Group Practice member: 44
Location
- Address1: 340 Cox Blvd
- Address2:
- City: Sheffield
- State: Alabama
- Zip Code: 35660
- Phone Number: (256)383-44732080
Location
- Address1: 342 Cox Boulevard
- Address2:
- City: Sheffield
- State: Alabama
- Zip Code: 35660
- Phone Number: (256)383-4473
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):