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

Jessica Weideman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205426640

Jessica Weideman is a Student in an Organized Health Care Education/Training Program in Prior Lake, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

16288 Parkview Dr SE
Prior Lake, MN 55372-3314
Phone: (952) 447-7260
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205426640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address16288 Parkview Dr Se, Prior Lake, MN 55372-3314

Other providers in Prior Lake