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

Mrs. Berthina Gaynell Weaver, PRACTICLENURSE

Individual provider Licensed Practical Nurse · NPI 1235668682

Mrs. Berthina Gaynell Weaver, PRACTICLENURSE is a Licensed Practical Nurse in Rex, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

5820 Rex Ridge Loop
Rex, GA 30273
Phone: (404) 643-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN064458 (GA)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 064458 (GA)

Record details

NPI number1235668682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRACTICLENURSE
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESJuly 21, 2022

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