Provider Demographics
NPI:1699666347
Name:WEEKS, JENNIFER (NC LMBT6986)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WEEKS
Suffix:
Gender:F
Credentials:NC LMBT6986
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4317 ARENDELL ST STE 8
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2855
Mailing Address - Country:US
Mailing Address - Phone:910-340-4575
Mailing Address - Fax:
Practice Address - Street 1:4317 ARENDELL ST STE 8
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2855
Practice Address - Country:US
Practice Address - Phone:910-340-4575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6986225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist