Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Jean Weaver

Individual provider Pediatric Nurse Practitioner · NPI 1629637293

Carly Jean Weaver is a Pediatric Nurse Practitioner in Temple Terrace, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904
Phone: (813) 871-8200
Fax: (813) 357-5501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 — (813) 871-8200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11001578 (FL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 11001578 (FL)

Record details

NPI number1629637293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESMarch 7, 2023
Certification dateAugust 3, 2020
Mailing address12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904

Other providers in Temple Terrace