Provider Demographics
NPI:1528583671
Name:WEEKS, JONATHAN W (PA)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:W
Last Name:WEEKS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:6205 FARRINGTON RD APT E9
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7849
Mailing Address - Country:US
Mailing Address - Phone:910-540-6327
Mailing Address - Fax:
Practice Address - Street 1:267 S CHURTON ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2506
Practice Address - Country:US
Practice Address - Phone:919-732-8131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant