Provider Demographics
NPI:1992771778
Name:WEATHERSPOON, CHRISTOPHER ALLEN (MS, RN, CS-FNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALLEN
Last Name:WEATHERSPOON
Suffix:
Gender:M
Credentials:MS, RN, CS-FNP
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Other - Middle Name:
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Mailing Address - Street 1:315 STONEY LN
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:KY
Mailing Address - Zip Code:42211-7435
Mailing Address - Country:US
Mailing Address - Phone:270-522-7272
Mailing Address - Fax:
Practice Address - Street 1:LAPOINTE HEALTH CLINIC
Practice Address - Street 2:5979 DESERT STORM AVE.
Practice Address - City:FT. CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223
Practice Address - Country:US
Practice Address - Phone:270-798-8592
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily