SearchArkansas207Q00000X

Jackson Weaver, MD

NPI 1467195016 · on the registry since 2022

Practice

Address
4517 Park Ave
Hot Springs, AR 71901
Phone
(501) 623-7900
Fax
(501) 623-7337
Organisation at this address
Fountain Lake Family Pharmacy Llc
Fountain Lake Family Pharmacy Llc
Healthstar Physicians Of Hot Springs, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 4228 Houma Blvd Ste 200, Metairie, LA

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas