Dr. Jackie Lynn Weaver
Chiropractor
2726 W Gentry Pkwy, Tyler
Texas, 75702-1635
903-593-2533 903-593-2555
Dr. Jackie Lynn Weaver is a pharmacist who is specialized in Chiropractor in Tyler, Texas. Patients can reach him at 2726 W Gentry Pkwy, Tyler or contact him on 903-593-2533. Active license number of Dr. Jackie Lynn Weaver is 6129 DC for Chiropractor in Texas.
Dr. Jackie Lynn Weaver is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Jackie Lynn Weaver speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Dr. Jackie Lynn Weaver |
| Specialization: | Chiropractor |
| Credentials: | DC, PHARM D |
| Gender: | Male |
| Location: | 2726 W Gentry Pkwy, Tyler,
Texas, 75702-1635 |
| Phone: | 903-593-2533 |
| Fax: | 903-593-2555 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Dr. Jackie Lynn Weaver are as mentioned below.
| NPI Number: | 1720072523 |
| NPI Enumeration Date: | 07 Sep, 2005 |
| NPI Last Update On: | 19 Jan, 2017 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackie Lynn Weaver are as mentioned below.
| Specialization | License Number | State | Status | |
| Chiropractor | 6129 DC | Texas | Primary | |
| Pharmacist | 48560 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jackie Lynn Weaver such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 001665101 | Medicaid | Texas | |
| 8K1680 | Other | | Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2726 W Gentry Pkwy,
Tyler, Texas |
| Zip: | 75702-1635 |
| Phone Number: | 903-593-2533 |
| Fax Number: | 903-593-2555 |
Patients can reach Dr. Jackie Lynn Weaver at
2726 W Gentry Pkwy, Tyler, Texas or can
call on phone at 903-593-2533.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.