KELLEY JO ANNA WEAVER
NPI 1376411751
Clinical Nurse Specialist in Monroe, NC

Active since October 27, 2025
2900 FAIRCROFT WAY, MONROE, NC 28110(704) 421-2894 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Jo Anna Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY JO ANNA WEAVER (NPI 1376411751) is an individual clinical nurse specialist in Monroe, North Carolina, licensed in North Carolina (433) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1376411751
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameKELLEY JO ANNA WEAVER
Location Address2900 FAIRCROFT WAYMonroe, NC 28110-8838
Mailing Address2900 Faircroft WayMonroe, NC 28110-8838 · (704) 421-2894
Sole ProprietorNo
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1376411751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License Licensed in NC · 433
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
2900 FAIRCROFT WAY, Monroe, NC 28110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Jo Weaver's NPI number?

The NPI number for Kelley Jo Weaver is 1376411751. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Kelley Jo Weaver located?

Kelley Jo Weaver practices at 2900 Faircroft Way, Monroe, NC 28110. The listed phone number is (704) 421-2894.

What is Kelley Jo Weaver's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Kelley Jo Weaver was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.