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

Jake Edward Weaver

Individual provider Peer Specialist · NPI 1184332405

Jake Edward Weaver is a Peer Specialist in Vinita, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

405 E Excelsior Ave
Vinita, OK 74301-4226
Phone: (918) 256-6476
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1184332405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address405 E Excelsior Ave, Vinita, OK 74301-4226

Other providers in Vinita