Provider Demographics
NPI:1609968163
Name:WEIGEL, MEGAN REGINA (DNP, ARNP-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:REGINA
Last Name:WEIGEL
Suffix:
Gender:F
Credentials:DNP, ARNP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:WEIGEL
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, ARNP-C
Mailing Address - Street 1:3948 3RD ST S # 521
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-5847
Mailing Address - Country:US
Mailing Address - Phone:904-249-1041
Mailing Address - Fax:904-249-9764
Practice Address - Street 1:14215 SPARTINA CT STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-3232
Practice Address - Country:US
Practice Address - Phone:904-543-3510
Practice Address - Fax:904-990-1331
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN3385192363L00000X
FLARNP3385192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA921921059AMedicaid
FLQ29432Medicare UPIN
FLU3604ZMedicare Oscar/Certification
GA921921059AMedicaid