Kelly Rae Weaver
CPNP-PC | Nurse Practitioner - Pediatrics
1 Saint Mary Pl, Shreveport
Louisiana, 71101-4307
318-272-3208
Kelly Rae Weaver is a Shreveport, Louisiana based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Kelly Rae Weaver is 226455 for Pediatrics in Louisiana. Her current practice location is 1 Saint Mary Pl, Shreveport. Patients can reach her at 318-272-3208. Kelly Rae Weaver is CPNP-PC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1881318756.
Kelly Rae Weaver specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Kelly Rae Weaver speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Rae Weaver |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP-PC |
| Practice Address: | 1 Saint Mary Pl, Shreveport,
Louisiana, 71101-4307 |
| Phone: | 318-272-3208 |
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 are as mentioned below.
| NPI Number: | 1881318756 |
| NPI Enumeration Date: | 03 Oct, 2022 |
| NPI Last Update On: | 04 Oct, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Rae Weaver are as mentioned below.
| License Number | Specialization | State | Status | |
| 226455 | Pediatrics | Louisiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Rae Weaver
1444 Suwannee Ln,
Benton, Louisiana |
| Zip: | 71006-8805 |
| Phone Number: | 318-272-3208 |
Patients can reach Kelly Rae Weaver at
1 Saint Mary Pl, Shreveport, Louisiana or can
call to book an appointment on 318-272-3208.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.