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

Kerry E Weaver

Individual provider Nurse Practitioner · NPI 1720624406

Kerry E Weaver is a Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

807 Childrens Way
Jacksonville, FL 32207-8426
Phone: (904) 697-3600
Show map & directions

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

Additional practice locations (1)

  • 800 Prudential Dr, Jacksonville, FL 32207-8202 — (904) 202-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11017050 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9424439 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence GAA-NP002170 (GA)

Record details

NPI number1720624406
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2019
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address1503 Parrish Pl, Jacksonville, FL 32205-9247

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