Doctor Name: | CHRISTOPHER ALLEN WEATHERSPOON |
NPI Number: | 1992771778 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, RN, CS-FNP |
License Number: | |
Business Practice Address: | Lapointe Health Clinic 5979 Desert Storm Ave. Ft. Campbell, KY - 42223 |
Business Phone Number: | 2707988592 |
Business Fax Number: | |
Mailing Address: | 315 Stoney Ln, CADIZ |
State: | KY |
Postal Code: | 422117435 |
Phone Number: | 2705227272 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |