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DR. JACKIE LYNN WEAVER DC, PHARM D
NPI 1720072523
Chiropractor in Tyler, TX

Active since September 07, 2005
2726 W GENTRY PKWY, TYLER, TX 75702(903) 593-2533(903) 593-2555 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jackie Lynn Weaver Dc, Pharm D NPPES

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

DR. JACKIE LYNN WEAVER DC, PHARM D (NPI 1720072523) is an individual chiropractor in Tyler, Texas, licensed in Texas (6129 DC) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1720072523
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACKIE LYNN WEAVERCredential: DC, PHARM D
Location Address2726 W GENTRY PKWYTyler, TX 75702-1635
Mailing Address2726 W Gentry PkwyTyler, TX 75702-1635 · (903) 593-2533 · Fax (903) 593-2555
Phone(903) 593-2533
Fax(903) 593-2555
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1720072523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 6129 DC
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedPharmacistTaxonomy 183500000X · License 48560 (TX)
2726 W GENTRY PKWY, Tyler, TX 75702
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Other Identifiers 4

Medicare UPINU638368
Other8K1680Blue Cross
Medicare ID-Type UnspecifiedC06037715TX
Medicaid001665101TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOODY WEAVER PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
2726 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 593-2533

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 Jackie Weaver's NPI number?

The NPI number for Jackie Weaver is 1720072523. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jackie Weaver located?

Jackie Weaver practices at 2726 W Gentry Pkwy, Tyler, TX 75702. The listed phone number is (903) 593-2533.

What is Jackie Weaver's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jackie Weaver was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.