KERRY E WEAVER
NPI 1720624406
Nurse Practitioner in Jacksonville, FL

Active since November 18, 2019
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Nov 18, 2019 (2 updates tracked since 2019).

About Kerry E Weaver NPPES

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

KERRY E WEAVER (NPI 1720624406) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11017050) and active in the NPI registry since November 2019. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1720624406
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKERRY E WEAVER
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address1503 Parrish PlJacksonville, FL 32205-9247
Sole ProprietorYes
Enumeration DateNovember 18, 2019
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1720624406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in FL · APRN11017050 Licensed in GA · GAA-NP002170
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9424439 (FL)
807 CHILDRENS WAY, Jacksonville, FL 32207

Secondary Practice Location 1

Location 1800 Prudential DrJacksonville, FL 32207-8202 · Phone (904) 202-2000

Other Providers at the Same Location NPPES 20

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

Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

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 Kerry Weaver's NPI number?

The NPI number for Kerry Weaver is 1720624406. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Kerry Weaver located?

Kerry Weaver practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Kerry Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kerry Weaver was last updated on October 22, 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.