Provider Demographics
NPI:1194005173
Name:WEAVER, VANESSA ROCHELLE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:ROCHELLE
Last Name:WEAVER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9737 FM 1960 BYPASS E
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4067
Mailing Address - Country:US
Mailing Address - Phone:281-358-0655
Mailing Address - Fax:
Practice Address - Street 1:12302 JONES RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4802
Practice Address - Country:US
Practice Address - Phone:713-805-5965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Q00000X363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily