Individual
CHASSIDY WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
617 CHAMBERLIN AVE, FRANKFORT, KY 40601-4220
(502) 699-2285
Mailing address
617 CHAMBERLIN AVE, FRANKFORT, KY 40601-4220
(502) 699-2285
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3016453
KY
363LF0000X
Family Nurse Practitioner
Primary
3016453
KY
363LG0600X
Gerontology Nurse Practitioner
3016453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100794030
—
KY
Enumeration date
12/08/2021
Last updated
10/15/2025
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