Javlyn Dickson Weaver, PA
Javlyn Dickson Weaver, PA is a Physician Assistant in Mountain Home, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 4
- Licensed in
- UT
- In the registry since
- 2023
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
895 N 6th EMountain Home, ID 83647-2207
Phone: (208) 587-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 12989329-1206 (UT) |
|---|
Record details
| NPI number | 1528774932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 30, 2023 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 28, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Mountain Home
-
Scott K M Knudsen, PA
120 Desert Sage Way, Mountain Home, ID 83647-1038 · (208) 587-3988
-
Quinn M Romeril, PA-C
120 Desert Sage Way, Mountain Home, ID 83647-1038 · (208) 587-3988
-
Derrick A Rowe, PA-C
805 N 6th E, Mountain Home, ID 83647-2207 · (208) 587-2450
-
Telicia Marie Saari, PA-C
120 Desert Sage Way, Mountain Home, ID 83647-1038 · (208) 587-3988
-
MS. Malinda Paige Westendorf
465 McKenna Dr, Mountain Home, ID 83647-2143 · (208) 587-9703