Mitzi Weekley
Nurse Practitioner - Family Medicine
101 Watson Dr Ste B
Jeffersonville
, Georgia 31044-5508
Mitzi Weekley
Nurse Practitioner - Family Medicine
101 Watson Dr Ste B
Jeffersonville
, Georgia 31044-5508
(478) 864-1288
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mitzi Weekley
- Po Box 371
- Wrightsville, GA
- Zip : 31096-0371
- Fax : (478) 864-1288
- Phone : (478) 864-3448
Second Address
- Mitzi Weekley
- 101 Watson Dr Ste B
- Jeffersonville, GA
- Zip : 31044-5508
- Fax : (478) 864-1288
- Phone : (478) 945-6522
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN080584 | GA |
National Provider Identifier
| NPI | 1003326604 |
|---|---|
| Provider Name | Mitzi Weekley |
| First Address | Wrightsville, GA 31096-0371 |
| Second Address | Jeffersonville, GA 31044-5508 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2017 |
| Last Update Date | 01/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RN080584 | MEDICAL LICENSE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.