Individual
LEKISHA R WEATHERSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-8343
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-8343
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704249717
MI
Other
Enumeration date
06/12/2018
Last updated
10/25/2023
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