Individual
LAKEYSHA NICHELLE WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3558 KIRBY PKWY, MEMPHIS, TN 38115-4243
(901) 566-1203
Mailing address
117 OVERTON DR, PLANTERSVILLE, MS 38862
(662) 205-4115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25798
TN
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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